Research ExplorerPublicationsIntracranial bailout stenting with the Acclino (Flex) Stent/...

Intracranial bailout stenting with the Acclino (Flex) Stent/NeuroSpeed Balloon Catheter after failed thrombectomy in acute ischemic stroke: a multicenter experience

Standard

Intracranial bailout stenting with the Acclino (Flex) Stent/NeuroSpeed Balloon Catheter after failed thrombectomy in acute ischemic stroke: a multicenter experience. / Stracke, Christian Paul; Meyer, Lukas; Fiehler, Jens; Leischner, Hannes; Bester, Maxim; Buhk, Jan Hendrik; Thomalla, Goetz; Krause, Lars Udo; Lowens, Stephan; Rothaupt, Jan; Chapot, René; Hanning, Uta.

In: J NEUROINTERV SURG, Vol. 12, No. 1, 01.2020, p. 43-47.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Stracke, CP, Meyer, L, Fiehler, J, Leischner, H, Bester, M, Buhk, JH, Thomalla, G, Krause, LU, Lowens, S, Rothaupt, J, Chapot, R & Hanning, U 2020, 'Intracranial bailout stenting with the Acclino (Flex) Stent/NeuroSpeed Balloon Catheter after failed thrombectomy in acute ischemic stroke: a multicenter experience', J NEUROINTERV SURG, vol. 12, no. 1, pp. 43-47. https://doi.org/10.1136/neurintsurg-2019-014957

APA

Stracke, C. P., Meyer, L., Fiehler, J., Leischner, H., Bester, M., Buhk, J. H., Thomalla, G., Krause, L. U., Lowens, S., Rothaupt, J., Chapot, R., & Hanning, U. (2020). Intracranial bailout stenting with the Acclino (Flex) Stent/NeuroSpeed Balloon Catheter after failed thrombectomy in acute ischemic stroke: a multicenter experience. J NEUROINTERV SURG, 12(1), 43-47. https://doi.org/10.1136/neurintsurg-2019-014957

Vancouver

Stracke CP, Meyer L, Fiehler J, Leischner H, Bester M, Buhk JH et al. Intracranial bailout stenting with the Acclino (Flex) Stent/NeuroSpeed Balloon Catheter after failed thrombectomy in acute ischemic stroke: a multicenter experience. J NEUROINTERV SURG. 2020 Jan;12(1):43-47. https://doi.org/10.1136/neurintsurg-2019-014957

Bibtex

@article{052a90c8dec14e0181e721e63954fc15,
title = "Intracranial bailout stenting with the Acclino (Flex) Stent/NeuroSpeed Balloon Catheter after failed thrombectomy in acute ischemic stroke: a multicenter experience",
abstract = "BACKGROUND AND PURPOSE: To report on the feasibility, safety, and outcome of acute intracranial stenting (ICS) with the Acclino (Flex) Stent and NeuroSpeed Balloon Catheter in cases of failed mechanical thrombectomy (MT) for acute ischemic stroke (AIS).METHODS: We retrospectively reviewed the data of patients treated with acute bailout stenting after failed MT in three large neurointerventional centers using exclusively the Acclino (Flex) Stent and the NeuroSpeed Balloon Catheter. Functional outcome was assessed by the rate of major early neurological recovery (mENR) at 24 hours and at 90 days with the modified Rankin Scale (mRS). Safety evaluation included symptomatic intracranial hemorrhage (sICH), mortality, and intervention-related serious adverse events (SAEs).RESULTS: 50 patients with a median age of 71 years met the inclusion criteria and 52% (26/50) of the occluded vessels were located within the anterior circulation. mENR was observed in 38.8% and 90-day favorable outcome (mRS ≤2) was 40.6% (13/32). Higher NIH Stroke Scale scores on admission were significantly associated with poor functional outcome (mRS ≥3) at 90 days (adjusted OR 1.28; 95% CI 1.07 to 1.53; p=0.007). sICH occurred in two cases of the study population. There were no intervention-related SAEs.CONCLUSION: Intracranial bailout stenting with the Acclino (Flex) Stent and the NeuroSpeed Balloon Catheter after failed MT is a feasible and effective recanalization method for atherosclerotic stenosis-based stroke that is associated especially with low rates of sICH.",
keywords = "Aged, Brain Ischemia/diagnostic imaging, Catheterization/instrumentation, Female, Humans, Male, Middle Aged, Retrospective Studies, Stents/trends, Stroke/diagnostic imaging, Thrombectomy/methods, Treatment Failure, Treatment Outcome",
author = "Stracke, {Christian Paul} and Lukas Meyer and Jens Fiehler and Hannes Leischner and Maxim Bester and Buhk, {Jan Hendrik} and Goetz Thomalla and Krause, {Lars Udo} and Stephan Lowens and Jan Rothaupt and Ren{\'e} Chapot and Uta Hanning",
note = "{\textcopyright} Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2020",
month = jan,
doi = "10.1136/neurintsurg-2019-014957",
language = "English",
volume = "12",
pages = "43--47",
journal = "J NEUROINTERV SURG",
issn = "1759-8478",
publisher = "BMJ PUBLISHING GROUP",
number = "1",

}

RIS

TY - JOUR

T1 - Intracranial bailout stenting with the Acclino (Flex) Stent/NeuroSpeed Balloon Catheter after failed thrombectomy in acute ischemic stroke: a multicenter experience

AU - Stracke, Christian Paul

AU - Meyer, Lukas

AU - Fiehler, Jens

AU - Leischner, Hannes

AU - Bester, Maxim

AU - Buhk, Jan Hendrik

AU - Thomalla, Goetz

AU - Krause, Lars Udo

AU - Lowens, Stephan

AU - Rothaupt, Jan

AU - Chapot, René

AU - Hanning, Uta

N1 - © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2020/1

Y1 - 2020/1

N2 - BACKGROUND AND PURPOSE: To report on the feasibility, safety, and outcome of acute intracranial stenting (ICS) with the Acclino (Flex) Stent and NeuroSpeed Balloon Catheter in cases of failed mechanical thrombectomy (MT) for acute ischemic stroke (AIS).METHODS: We retrospectively reviewed the data of patients treated with acute bailout stenting after failed MT in three large neurointerventional centers using exclusively the Acclino (Flex) Stent and the NeuroSpeed Balloon Catheter. Functional outcome was assessed by the rate of major early neurological recovery (mENR) at 24 hours and at 90 days with the modified Rankin Scale (mRS). Safety evaluation included symptomatic intracranial hemorrhage (sICH), mortality, and intervention-related serious adverse events (SAEs).RESULTS: 50 patients with a median age of 71 years met the inclusion criteria and 52% (26/50) of the occluded vessels were located within the anterior circulation. mENR was observed in 38.8% and 90-day favorable outcome (mRS ≤2) was 40.6% (13/32). Higher NIH Stroke Scale scores on admission were significantly associated with poor functional outcome (mRS ≥3) at 90 days (adjusted OR 1.28; 95% CI 1.07 to 1.53; p=0.007). sICH occurred in two cases of the study population. There were no intervention-related SAEs.CONCLUSION: Intracranial bailout stenting with the Acclino (Flex) Stent and the NeuroSpeed Balloon Catheter after failed MT is a feasible and effective recanalization method for atherosclerotic stenosis-based stroke that is associated especially with low rates of sICH.

AB - BACKGROUND AND PURPOSE: To report on the feasibility, safety, and outcome of acute intracranial stenting (ICS) with the Acclino (Flex) Stent and NeuroSpeed Balloon Catheter in cases of failed mechanical thrombectomy (MT) for acute ischemic stroke (AIS).METHODS: We retrospectively reviewed the data of patients treated with acute bailout stenting after failed MT in three large neurointerventional centers using exclusively the Acclino (Flex) Stent and the NeuroSpeed Balloon Catheter. Functional outcome was assessed by the rate of major early neurological recovery (mENR) at 24 hours and at 90 days with the modified Rankin Scale (mRS). Safety evaluation included symptomatic intracranial hemorrhage (sICH), mortality, and intervention-related serious adverse events (SAEs).RESULTS: 50 patients with a median age of 71 years met the inclusion criteria and 52% (26/50) of the occluded vessels were located within the anterior circulation. mENR was observed in 38.8% and 90-day favorable outcome (mRS ≤2) was 40.6% (13/32). Higher NIH Stroke Scale scores on admission were significantly associated with poor functional outcome (mRS ≥3) at 90 days (adjusted OR 1.28; 95% CI 1.07 to 1.53; p=0.007). sICH occurred in two cases of the study population. There were no intervention-related SAEs.CONCLUSION: Intracranial bailout stenting with the Acclino (Flex) Stent and the NeuroSpeed Balloon Catheter after failed MT is a feasible and effective recanalization method for atherosclerotic stenosis-based stroke that is associated especially with low rates of sICH.

KW - Aged

KW - Brain Ischemia/diagnostic imaging

KW - Catheterization/instrumentation

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Retrospective Studies

KW - Stents/trends

KW - Stroke/diagnostic imaging

KW - Thrombectomy/methods

KW - Treatment Failure

KW - Treatment Outcome

U2 - 10.1136/neurintsurg-2019-014957

DO - 10.1136/neurintsurg-2019-014957

M3 - SCORING: Journal article

C2 - 31239330

VL - 12

SP - 43

EP - 47

JO - J NEUROINTERV SURG

JF - J NEUROINTERV SURG

SN - 1759-8478

IS - 1

ER -