Abstract
Abstract WMP86: Acute intracranial stenting among patients with large vessel occlusion: Clinical and radiological outcomes of the RESISTANT International registry
Stroke (1970), Vol.56(Suppl_1)
02/2025
DOI: 10.1161/str.56.suppl_1.WMP86
Abstract
Abstract only Background: Acute intracranial stenting for the treatment of patients with large vessel occlusion in case of failed reperfusion or severe stenosis is a growing practice. Our aim was to explore the clinical and radiological outcome in a large multicenter and international registry. Methods: The RESISTANT registry is a multicenter and international retrospective registry of patients with large vessel occlusion stroke that underwent intracranial stenting due an acute stroke from 2016 to 2023. Primary endpoints was clinical outcome at 90 days. Secondary efficacy endpoints were final reperfusion (mTICI 2b-3), and stent patency at 24 hours. Safety outcomes included procedural complications, symptomatic intracranial hemorrhage and in-hospital mortality. Results: Among 890 patients enrolled, 862 fulfilled inclusion criteria. Median age was 67.0 years (IQR 59.0-77.0), 558 (64.7%) were males and median NIHSS was 12 (IQR 7.0-19.0). Occlusion location was proximal in 758 (87.9%) patients and anterior circulation was affected in 613 (71.1%) patients (390 M1-MCA, 142 terminal ICA). The indication for intracranial stenting was failed reperfusion (mTICI 0-2a) in 456 patients (52.9%). After intracranial stenting, successful recanalization was achieved in 764 (88.6%) with a reocclusion rate during admission of 11.9% and missing controls of 17.7%. The rate of symptomatic intracranial hemorrhage was 8.1%. At 90 days, the median mRS was 3 (IQR 1-6). Successful recanalization and regular flow after stenting were predictors of functional outcome at 90 days. No variables were independently associated with early reocclusion or symptomatic intracranial hemorrhage. Conclusion: Acute intracranial stenting was an effective therapy for patients with failed reperfusion or severe stenosis. Successful reperfusion and regular flow after stenting predicted functional outcome. Prospective studies are warranted to confirm efficacy and safety.
Details
- Title: Subtitle
- Abstract WMP86: Acute intracranial stenting among patients with large vessel occlusion: Clinical and radiological outcomes of the RESISTANT International registry
- Creators
- Manuel Requena - Hospital Valle del NalónMarta Olive-Gadea - Vall d'Hebron Hospital UniversitariJohannes Kaesmacher - University Hospital of BernAdnan Mujanovic - University Hospital of Bernserdar geyik - I.A.U. VM Medical Park Florya, Istanbul, TurkeySONGUL Senadim - I.A.U. VM Medical Park Florya, Istanbul, TurkeyAmedeo Cervo - Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano NiguardaAndrea Salcuni - Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano NiguardaManuel Moreu - Hospital Clínico San CarlosAlfonso Lopez-Frias - Hospital Clínico San CarlosAmeer Hassan - Valley Baptist Medical CenterSamantha Miller - Valley Baptist Medical CenterElena Zapata-Arriaza - Hospital Universitario Virgen del RocíoAsier de Alboniga-Chindurza - Hospital Universitario Virgen del RocíoMauro Bergui - Fondazione Ricerca MolinetteStefano Molinaro - Fondazione Ricerca MolinetteJoao Andre Sousa - Hospitais da Universidade de CoimbraFábio Gomes - Hospitais da Universidade de CoimbraAndrea Alexandre - Agostino Gemelli University PolyclinicAlessandro Pedicelli - Agostino Gemelli University PolyclinicJeremy Hofmeister - HUG, Geneva, SwitzerlandPaolo Machi - HUG, Geneva, SwitzerlandLuca Scarcia - Hôpitaux Universitaires Henri-MondorErwah Kalsoum - Hôpitaux Universitaires Henri-MondorTorcato Meira - Hospital BragaJosé Amorim - Hospital BragaSantiago Ortega-Gutierrez - University of IowaAaron Rodriguez - UIHC, Iowa city, Iowa, United StatesFrancesco Capasso - Azienda Ospedaliero-Universitaria CareggiLeonardo Renieri - Azienda Ospedaliero-Universitaria CareggiDaniele Romano - University of SalernoEduardo Barcena - Hospital Universitario 12 De OctubreMohamad AbdalKader - Boston Medical CenterCatarina Perry Da Camara - CENTRO HOSPITALAR LISBOA CENTRAL, Lisboa, PortugalDileep Yavagal - University of MiamiPEDRO Vega - Hospital Universitario Central de AsturiasAtilla Ozcan Ozdemir - Eskişehir Osmangazi UniversityStanislas Smajda - Fondation de RothschildJane Khalife - Cooper University Health CareFrancesco Biraschi - Policlinico Umberto IPedro Castro - Hospital de São JoãoAdnan Siddiqui - University at Buffalo, State University of New YorkPedro Navia - Hospital Universitario La PazNikolaos Ntoulias - University Hospital of BaselMariano Velo - Azienda Ospedaliera Universitaria Policlinico "G. Martino"Joaquin Zamarro - Hospital Universitario Virgen de la ArrixacaOsama Zaidat - Mercy HealthAlicia Sierra-Gómez - Hospital Clínico Universitario de ValladolidJoao Pedro Marto - Hospital de Egas Monizalejandro tomasello - Vall d'Hebron Hospital Universitari
- Resource Type
- Abstract
- Publication Details
- Stroke (1970), Vol.56(Suppl_1)
- DOI
- 10.1161/str.56.suppl_1.WMP86
- ISSN
- 0039-2499
- eISSN
- 1524-4628
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Language
- English
- Date published
- 02/2025
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984786454002771
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