ArticleStroke (Hoboken, N.J.)2023
Rescue Endovascular Treatment of Patients With Emergent Large Vessel Occlusion Attributed to Intracranial Atherosclerosis: A Systematic Review and Meta-Analysis.
Article in Stroke (Hoboken, N.J.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Effect Modification of Rescue Stenting in ICAS-Related Middle Cerebral Artery Occlusion: The Role of Thrombectomy Failure, Stenosis Severity, and ASPECTS.Translational stroke research · 2026Article
- Beyond Recanalization: A Mechanistic and Procedural Framework for Adjunct Pharmacologic Therapy During Mechanical Thrombectomy.Journal of clinical medicine · 2026Review
- Final Infarct Volume as a Surrogate End Point in Anterior Circulation ICAS-LVO Stroke: Post Hoc Secondary Analysis of RESCUE-ICAS.Stroke (Hoboken, N.J.) · 2026Article
- Impact of Stenting with Angioplasty and MTICI 2c-3 Recanalization On Outcome in Acute MCA Occlusion with Underlying Stenosis.Clinical neuroradiology · 2026Article
- Management of intracranial arterial stenosis during mechanical thrombectomy: Survey of neuro-interventionalists.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026Article
- Prevalence and Angiographic Outcomes of Rescue Intracranial Stenting in Large Vessel Occlusion Following Stroke Thrombectomy - STRATIS.Stroke (Hoboken, N.J.) · 2025Article
- Stent Retriever AssIsted Lysis Technique with Tirofiban: A Potential Bailout Alternative to Angioplasty and Stenting.AJNR. American journal of neuroradiology · 2024Article
- Rescue Stenting for Failed Mechanical Thrombectomy in Acute Ischemic Stroke: Systematic Review and Meta-analysis.Stroke (Hoboken, N.J.) · 2023Article
- Review
- Endovascular Therapy for Acute Stroke: New Evidence and Indications.Journal of neuroendovascular therapy · 2023Review
- Mechanical thrombectomy using the retrograde semi-retrieval technique for patients with underlying intracranial atherosclerotic stenosis.Frontiers in neurology · 2023Article
- Higher fibrinogen levels contributes to thrombosis in intracranial atherosclerosis-related large vessel occlusion strokes.Frontiers in neurologyArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Patients with acute stroke presenting with large vessel occlusion secondary to intracranial atherosclerosis (ICAS-LVO) may require rescue therapy (RT) in addition to mechanical thrombectomy to achieve and maintain successful recanalization. We performed a systematic review and meta-analysis of comparative studies that reported outcomes of RT in patients with ICAS-LVO to evaluate its safety and efficacy. Methods: Databases searched include PubMed, CINAHL Complete, and Scopus from database date of inception through August 17, 2021. We included comparative studies that reported the outcomes of ICAS-LVO RT compared with outcomes of patients with ICAS-LVO who did not undergo RT or to those patients presenting with embolic large vessel occlusion (non-ICAS-LVO). Meta-analysis using the random-effects model was used to combine estimates reporting odds ratios (ORs) and 95% CIs. Results: A total of 9 nonrandomized studies were included: 5 studies in ICAS-LVO RT versus ICAS-LVO non-RT analysis and 5 in ICAS-LVO RT versus non-ICAS LVO analysis. Rescue treatments included intra-arterial antiplatelets, angioplasty, stenting, or a combination of treatments. Compared with non-RT ICAS-LVO, RT was associated with an increased favorable 90-day outcome (OR, 3.19 [95% CI, 1.91-5.32]; Conclusions: Rescue treatment is likely associated with better outcomes in patients with ICAS-LVO. The outcomes of patients with ICAS-LVO who receive RT may be comparable with patients with embolic large vessel occlusion (non-ICAS-LVO).
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