{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T13:52:58Z","timestamp":1785851578920,"version":"3.56.0"},"reference-count":35,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:00:00Z","timestamp":1705017600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The retrograde semi-retrieval technique (RESET) has been described as a modified technique for endovascular thrombectomy (EVT) whose safety and efficacy for intracranial atherosclerosis stenosis (ICAS) patients remain uncertain. This article presents our single-center experience, comparing RESET vs. non-RESET in ICAS patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>We analyzed 327 consecutive ICAS patients who underwent EVT at Tianjin Huanhu Hospital from January 2018 and December 2022. Patients were categorized into two groups: RESET and non-RESET. The primary outcome was the first-pass effect (FPE). Secondary outcomes included successful reperfusion, functional independence at 90 days, mortality, and symptomatic intracranial hemorrhage (sICH).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>RESET was significantly associated with FPE [adjusted odds ratio (aOR) 2.00, 95% confidence interval (CI) 1.03\u20133.87, <jats:italic>p<\/jats:italic> = 0.040]. RESET was not significantly associated with successful reperfusion (aOR 1.5, CI 0.55\u20134.06, <jats:italic>p<\/jats:italic> = 0.425), an mRS of 0\u20132 at 90 days (aOR 1.36, CI 0.83\u20132.21, <jats:italic>p<\/jats:italic> = 0.223), sICH (aOR 0.39, CI 0.12\u20131.23, <jats:italic>p<\/jats:italic> = 0.108), and mortality (aOR 0.49, CI 0.16\u20131.44, <jats:italic>p<\/jats:italic> = 0.193). After propensity score matching, the results were consistent with the primary analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Compared to non-RESET, patients treated with RESET showed increased FPE incidence and significantly decreased puncture-to-reperfusion time. RESET was proven to be safe and effective in enhancing reperfusion for LVO patients receiving EVT with underlying ICAS.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fneur.2023.1280181","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T10:32:45Z","timestamp":1705055565000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Mechanical thrombectomy using the retrograde semi-retrieval technique for patients with underlying intracranial atherosclerotic stenosis"],"prefix":"10.3389","volume":"14","author":[{"given":"Wei","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongbo","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bohao","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuling","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenjian","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sifei","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pinyuan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,1,12]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e344","DOI":"10.1161\/STR.0000000000000211","article-title":"Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association\/American Stroke Association","volume":"50","author":"Powers","year":"2019","journal-title":"Stroke."},{"key":"B2","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1161\/STROKEAHA.120.029830","article-title":"Good clinical outcome decreases with number of retrieval attempts in stroke thrombectomy","volume":"52","author":"Flottmann","year":"2021","journal-title":"Stroke."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1368","DOI":"10.3174\/ajnr.A5212","article-title":"Correlation of thrombectomy maneuver count with recanalization success and clinical outcome in patients with ischemic stroke","volume":"38","author":"Seker","year":"2017","journal-title":"AJNR."},{"key":"B4","doi-asserted-by":"publisher","first-page":"1303","DOI":"10.1016\/j.jocn.2012.10.037","article-title":"Tri-axial system using the Solitaire-FR and Penumbra Aspiration Microcatheter for acute mechanical thrombectomy","volume":"20","author":"Deshaies","year":"2013","journal-title":"J Clin Neurosci."},{"key":"B5","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1016\/j.thromres.2020.05.011","article-title":"A single-center comparative study of the SWIM technique in the treatment of acute ischemic stroke due to anterior circulation occlusion","volume":"192","author":"Chen","year":"2020","journal-title":"Thromb Res."},{"key":"B6","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1007\/s00062-018-0702-4","article-title":"The SAVE technique: large-scale experience for treatment of intracranial large vessel occlusions","volume":"29","author":"Maus","year":"2019","journal-title":"Clin Neuroradiol."},{"key":"B7","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1177\/1591019916632369","article-title":"ARTS (aspiration-retriever technique for stroke): initial clinical experience","volume":"22","author":"Massari","year":"2016","journal-title":"Interv Neuroradiol."},{"key":"B8","doi-asserted-by":"publisher","first-page":"1154","DOI":"10.1136\/neurintsurg-2016-012838","article-title":"Continuous aspiration prior to intracranial vascular embolectomy (CAPTIVE): a technique which improves outcomes","volume":"9","author":"Mctaggart","year":"2017","journal-title":"J Neurointerv Surg."},{"key":"B9","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1007\/s00062-018-0742-9","article-title":"Further development of combined techniques using stent retrievers, aspiration catheters and BGC: The PROTECT(PLUS) technique","volume":"30","author":"Maegerlein","year":"2020","journal-title":"Clin Neuroradiol."},{"key":"B10","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1136\/neurintsurg-2017-013558","article-title":"PROTECT: PRoximal balloon Occlusion TogEther with direCt Thrombus aspiration during stent retriever thrombectomy - evaluation of a double embolic protection approach in endovascular stroke treatment","volume":"10","author":"Maegerlein","year":"2018","journal-title":"J Neurointerv Surg."},{"key":"B11","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1080\/17434440.2019.1684263","article-title":"Optimizing fast first pass complete reperfusion in acute ischemic stroke - the BADDASS approach (BAlloon guiDe with large bore Distal Access catheter with dual aspiration with Stent-retriever as Standard approach)","volume":"16","author":"Ospel","year":"2019","journal-title":"Expert Rev Med Devices."},{"key":"B12","doi-asserted-by":"publisher","first-page":"e468","DOI":"10.1016\/j.wneu.2017.10.004","article-title":"A stent-retrieving into an aspiration catheter with proximal balloon (ASAP) technique: a technique of mechanical thrombectomy","volume":"109","author":"Goto","year":"2018","journal-title":"World Neurosurg."},{"key":"B13","doi-asserted-by":"publisher","first-page":"754","DOI":"10.1111\/jon.12793","article-title":"Mechanical thrombectomy using distal access catheters: current status and future prospects","volume":"30","author":"Nayak","year":"2020","journal-title":"J Neuroimaging."},{"key":"B14","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1161\/STROKEAHA.113.003508","article-title":"Prevalence and outcomes of symptomatic intracranial large artery stenoses and occlusions in China: the Chinese Intracranial Atherosclerosis (CICAS) Study","volume":"45","author":"Wang","year":"2014","journal-title":"Stroke."},{"key":"B15","doi-asserted-by":"publisher","first-page":"1542","DOI":"10.1212\/WNL.0000000000003202","article-title":"Importance of truncal-type occlusion in stentriever-based thrombectomy for acute stroke","volume":"87","author":"Baek","year":"2016","journal-title":"Neurology."},{"key":"B16","doi-asserted-by":"publisher","first-page":"2746","DOI":"10.1161\/STROKEAHA.117.018096","article-title":"Predictive value of computed tomography angiography-determined occlusion type in stent retriever thrombectomy","volume":"48","author":"Baek","year":"2017","journal-title":"Stroke."},{"key":"B17","first-page":"643","article-title":"A standardized method for measuring intracranial arterial stenosis","volume":"21","author":"Samuels","year":"2000","journal-title":"AJNR Am J Neuroradiol."},{"key":"B18","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1016\/S0140-6736(98)08020-9","article-title":"Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II)","volume":"352","author":"Hacke","year":"1998","journal-title":"Second Eur-Austral Acute Stroke Study Invest Lancet."},{"key":"B19","doi-asserted-by":"publisher","first-page":"2140","DOI":"10.1161\/STROKEAHA.119.025148","article-title":"True first-pass effect","volume":"50","author":"Nikoubashman","year":"2019","journal-title":"Stroke."},{"key":"B20","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1136\/neurintsurg-2014-011525","article-title":"Predictors of poor outcome despite recanalization: a multiple regression analysis of the NASA registry","volume":"8","author":"Linfante","year":"2016","journal-title":"J Neurointerv Surg."},{"key":"B21","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1161\/STROKEAHA.117.020315","article-title":"First pass effect: a new measure for stroke thrombectomy devices","volume":"49","author":"Zaidat","year":"2018","journal-title":"Stroke."},{"key":"B22","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1159\/000527193","article-title":"Predictors of symptomatic intracranial hemorrhage after endovascular thrombectomy in acute ischemic stroke: a systematic review and meta-analysis","volume":"52","author":"Dong","year":"2023","journal-title":"Cerebrovasc Dis."},{"key":"B23","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1177\/15910199221084481","article-title":"A review of mechanical thrombectomy techniques for acute ischemic stroke","volume":"29","author":"Munoz","year":"2022","journal-title":"Intervent Neuroradiol."},{"key":"B24","doi-asserted-by":"publisher","first-page":"643633","DOI":"10.3389\/fneur.2021.643633","article-title":"Endovascular management of intracranial atherosclerosis-related large vessel occlusion with the a direct aspiration first-pass thrombectomy compared with solumbra technique","volume":"12","author":"Li","year":"2021","journal-title":"Front Neurol."},{"key":"B25","doi-asserted-by":"publisher","first-page":"i4","DOI":"10.1136\/neurintsurg-2014-011125.rep","article-title":"ADAPT FAST study: a direct aspiration first pass technique for acute stroke thrombectomy","volume":"10","author":"Turk","year":"2018","journal-title":"J Neurointerv Surg."},{"key":"B26","doi-asserted-by":"publisher","first-page":"1356","DOI":"10.3174\/ajnr.A6132","article-title":"GUide sheath advancement and aspiration in the distal petrocavernous internal carotid artery (GUARD) technique during thrombectomy improves reperfusion and clinical outcomes","volume":"40","author":"Ansari","year":"2019","journal-title":"AJNR."},{"key":"B27","doi-asserted-by":"publisher","first-page":"568","DOI":"10.1136\/neurintsurg-2015-011763","article-title":"Groin complications in endovascular mechanical thrombectomy for acute ischemic stroke: a 10-year single center experience","volume":"8","author":"Shah","year":"2016","journal-title":"J Neurointerv Surg."},{"key":"B28","doi-asserted-by":"publisher","first-page":"845","DOI":"10.1016\/j.jcin.2010.05.013","article-title":"Retroperitoneal hematoma after percutaneous coronary intervention: prevalence, risk factors, management, outcomes, and predictors of mortality: a report from the BMC2 (Blue Cross Blue Shield of Michigan Cardiovascular Consortium) registry","volume":"3","author":"Trimarchi","year":"2010","journal-title":"JACC Cardiovasc Interv."},{"key":"B29","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1177\/1591019916689053","article-title":"Retrograde semi-retrieval technique for combined stentriever plus aspiration thrombectomy in acute ischemic stroke","volume":"23","author":"Wei","year":"2017","journal-title":"Interv Neuroradiol."},{"key":"B30","doi-asserted-by":"publisher","first-page":"1202","DOI":"10.3171\/2019.1.JNS182905","article-title":"Front-line thrombectomy for acute large-vessel occlusion with underlying severe intracranial stenosis: stent retriever versus contact aspiration","volume":"132","author":"Kang","year":"2019","journal-title":"J Neurosurg."},{"key":"B31","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1001\/jamaneurol.2018.4510","article-title":"Association of time from stroke onset to groin puncture with quality of reperfusion after mechanical thrombectomy: a meta-analysis of individual patient data from 7 randomized clinical trials","volume":"76","author":"Bourcier","year":"2019","journal-title":"JAMA Neurol."},{"key":"B32","doi-asserted-by":"publisher","first-page":"e000561","DOI":"10.1161\/SVIN.122.000561","article-title":"A decade of improvement in door-to-puncture times for mechanical thrombectomy but ongoing stagnation in prehospital care","volume":"3","author":"Sun","year":"2023","journal-title":"Stroke Vasc Intervent Neurol."},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000694","article-title":"Endovascular treatment and the outcomes of atherosclerotic intracranial stenosis in patients with hyperacute stroke","author":"Yoon","year":"2015","journal-title":"Neurosurgery."},{"key":"B34","doi-asserted-by":"publisher","first-page":"e000510","DOI":"10.1161\/SVIN.122.000510","article-title":"Rescue endovascular treatment of patients with emergent large vessel occlusion attributed to intracranial atherosclerosis: a systematic review and meta-analysis","volume":"3","author":"Almallouhi","year":"2023","journal-title":"Stroke Vasc Interven Neurol."},{"key":"B35","doi-asserted-by":"publisher","first-page":"1580","DOI":"10.1161\/STROKEAHA.120.031242","article-title":"Number of retrieval attempts rather than procedure time is associated with risk of symptomatic intracranial hemorrhage","volume":"52","author":"Maros","year":"2021","journal-title":"Stroke."}],"container-title":["Frontiers in Neurology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2023.1280181\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T10:32:48Z","timestamp":1705055568000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fneur.2023.1280181\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,12]]},"references-count":35,"alternative-id":["10.3389\/fneur.2023.1280181"],"URL":"https:\/\/doi.org\/10.3389\/fneur.2023.1280181","relation":{},"ISSN":["1664-2295"],"issn-type":[{"value":"1664-2295","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,12]]},"article-number":"1280181"}}