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Efficacy and safety of rescue stenting following failed mechanical thrombectomy for anterior circulation large vessel occlusion: propensity score analysis.

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机构： [1]Department of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China. [2]Department of Neurology, Zhongshan Hospital Xiamen University, Xiamen, China. [3]Department of Anesthesiology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China. [4]Department of Neurology, Wuhan No. 1 Hospital, Wuhan, Hubei, China. [5]Department of Neurology, Maoming Traditional Chinese Medicine Hospital, Maoming, Guangdong, China. [6]Department of Neurology, The Third People's Hospital of Zigong, Zigong, Sichuan, China. [7]Department of Neurology, The First People's Hospital of Zigong, Zigong, Sichuan, China. [8]Department of Neurology, The 902th Hospital of The People's Liberation Army, Bengbu, Anhui, China. [9]Department of Neurology, The First People's Hospital of Yangzhou, Yangzhou University, Yangzhou, Jiangsu, China. [10]Department of Neurology, Ganzhou People's Hospital, Ganzhou, Jiangxi, China. [11]Department of Neurology, The Fifth People's Hospital of Chengdu, Chengdu, Sichuan, China. [12]Department of Neurology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China. [13]Department of Neurology, Lu'an Affiliated Hospital of Anhui Medical University, Lu'an, Anhui, China. [14]Department of Neurology, Anhui Provincial Hospital and and The First Affiliated Hospital of USTC, Hefei, Anhui, China. [15]Department of Neurology, Nanyang Central Hospital, Nanyang, Henan, China. [16]Department of Neurosurgey, The 904th Hospital of The People's Liberation Army, Wuxi, Jiangsu, China. [17]Departmentof Neurology, Ren Min Hospital of Wu Han University, Wuhan, Hubei, China.

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To evaluate the effectiveness and safety of rescue stenting (RS) after failed mechanical thrombectomy (MT) for patients with large artery occlusion in the anterior circulation. Consecutive patients who experienced failed reperfusion and subsequently did or did not undergo RS at 16 comprehensive stroke centers were enrolled from January 2015 to June 2018. Propensity score matching was used to achieve baseline balance between the patient groups. Symptomatic intracranial hemorrhage (sICH) at 48 hours and the modified Rankin Scale scores and mortality at 3 months in the two groups were compared. A total of 90 patients with RS and 117 patients without RS after failed MT were enrolled. Propensity score matching analysis selected 132 matched patients. The good outcome rate was significantly higher in matched patients with RS than in those without RS (36.4% vs 19.7%, p=0.033), whereas the sICH (13.6% vs 21.2%, p=0.251) and mortality (31.9% vs 43.9%, p=0.151) were not significantly different between the groups. RS seems to be an effective safe choice for patients with large vessel occlusion of the anterior circulation who underwent failed MT. © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.

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出版当年[2019]版：

大类 | 2 区医学

小类 | 2 区外科 3 区神经成像

最新[2025]版：

大类 | 2 区

医学

小类 | 1 区神经成像 1 区外科

JCR分区：

出版当年[2018]版：

Q1 SURGERY Q2 NEUROIMAGING

最新[2023]版：

Q1 NEUROIMAGING Q1 SURGERY

影响因子： 4.5 最新[2023版] 4.7 最新五年平均 3.925 出版当年[2018版] 3.557 出版当年五年平均 3.526 出版前一年[2017版] 4.46 出版后一年[2019版]

第一作者：

第一作者机构： [1]Department of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China. [2]Department of Neurology, Zhongshan Hospital Xiamen University, Xiamen, China.

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通讯作者：

通讯机构： [1]Department of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China. [*1]Department of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China

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