Journal article
RESCUE‐ICAS: Rationale and Study Design
Stroke: vascular and interventional neurology, Vol.3(4), e000530
07/2023
DOI: 10.1161/SVIN.122.000530
Abstract
BACKGROUND Mechanical thrombectomy (MT) failure occurs in ≈10% to 20% of MTs. Among the common causes of failed MT is residual underlying intracranial stenosis (ICAS), typically attributable to atherosclerotic disease. ICAS large‐vessel occlusion (ICAS‐LVO) remains poorly understood, and management of ICAS‐LVO is unclear. The RESCUE‐ICAS (Registry of Emergent Large Vessel Occlusion Due to Intracranial Stenosis) aims at providing better understanding of the prevalence of ICAS‐LVO, and the overall safety and efficacy of various rescue therapies. METHODS RESCUE‐ICAS is a multicenter, international, prospective registry that is currently enrolling patients with ICAS‐LVO who underwent MT. All sites are required to report monthly MT cases that meet inclusion criteria. The decision of whether to use rescue therapy is up to the interventionist. RESULTS We will collect patients’ demographic, clinical, and radiographic data at baseline. Also, we will capture variables related to the MT procedure and rescue therapy (if performed), and postprocedural clinical and imaging variables. Outcomes include the rate of successful recanalization, defined by modified Thrombolysis in Cerebral Infarction score of ≥2b, the rate of symptomatic intracranial hemorrhage, the 90‐day modified Rankin scale score, and mortality. CONCLUSIONS No strong evidence is currently available to support an optimal treatment strategy for patients with ICAS‐LVO undergoing MT. RESCUE‐ICAS is a prospective cohort study that will provide important data to help design randomized controlled trials.
Details
- Title: Subtitle
- RESCUE‐ICAS: Rationale and Study Design
- Creators
- Violiza Inoa - University of Tennessee Health Science CenterJonathan A. Grossberg - Emory UniversityJustin Mascitelli - The University of Texas Health Science Center at San AntonioEdgar A Samaniego - University of IowaIsabel Fragata - Hospital de São JoséTareq Kass-Hout - University of ChicagoFrancesco Capasso - Azienda Ospedaliero-Universitaria CareggiAdam A. Dmytriw - Massachusetts General HospitalHosam Al Jehani - Alfaisal UniversityKrisztina Modovan - Brown UniversityShadi Yaghi - Brown UniversityMohamad Ezzeldin - Department of Neurology Houston Healthcare HCA Houston TXRamesh Grandhi - University of UtahStacey Wolfe - Wake Forest UniversityEyad Almallouhi - Medical University of South CarolinaAdam de Havenon - Yale UniversityKyle Fargen - Wake Forest UniversityKhaled Asi - Advocate Health CarePascal Jabbour - Thomas Jefferson UniversityKareem El Naamani - Thomas Jefferson UniversityKaustubh Limaye - Department of Neurology Radiology and Neurosurgery University of Indiana Indianapolis INIlko Maier - Universitätsmedizin GöttingenAlejandro M. Spiotta - Medical University of South CarolinaRobert Starke - University of MiamiOsama O. Zaidat - Bon Secours Mercy HealthMarios Psychogios - University of BaselSami Al Kasab - Medical University of South Carolina
- Resource Type
- Journal article
- Publication Details
- Stroke: vascular and interventional neurology, Vol.3(4), e000530
- DOI
- 10.1161/SVIN.122.000530
- ISSN
- 2694-5746
- eISSN
- 2694-5746
- Language
- English
- Electronic publication date
- 02/25/2023
- Date published
- 07/2023
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984413069802771
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