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- W4386032810 abstract "<h3>Introduction</h3> Thrombectomy is the standard treatment for acute ischemic stroke. No treatment for failed Thrombectomy has been so far established. As a rescue method, a double stent-retriever(SR) seems to be effective and associated with a low complication rate. <h3>Aim of Study</h3> To prove the efficacy and saftey of Double Stentreiver as a rescue method after failed Thrombectomy. <h3>Methods</h3> In a retrospective analysis, all patients having received mechanical Thrombectomy with double-SR as rescue therapy following failed single-SR thrombectomy between 2010–2022 were studied. The efficacy and safety of double-SR rescue therapy were evaluated using modified thrombolysis in cerebral infarction (TICI 2b/3), European Cooperation Acute Stroke Study( ECASS) II classification, and the National Institutes of Health Stroke Scale Score (NIHSS) at discharge. <h3>Results</h3> Of 120 enrolled patients, 74 presented with MCA- (M1= 66, M2= 8), 14 with TICA, and 14 with basilar artery -occlusion. The mean intervention duration before changing the method was 34.51 minutes, and the mean number of failed- passes was 1.98. Fist-pass Effect was achieved in 81 (67%) patients after using Double-SR. The mean time of rescue-thrombectomy was 26.12 (10–150 minutes). Symptomatic intracerebral hemorrhage was observed in 6 patients (5%). <h3>Conclusion</h3> Rescue Mechanical thrombectomy using double-SR is associated with a higher rate of successful recanalization, first-pass effect, and relatively low rate of hemorrhagic complications. Further randomized control trials are needed to confirm results and long-term outcomes. <h3>Disclosure of Interest</h3> Nothing to disclose." @default.
- W4386032810 created "2023-08-22" @default.
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- W4386032810 date "2023-08-21" @default.
- W4386032810 modified "2023-09-25" @default.
- W4386032810 title "O33/325 The efficacy and safety of Double Stentretrevier as a rescue method after failed thrombectomy" @default.
- W4386032810 doi "https://doi.org/10.1136/jnis-2023-esmint.33" @default.
- W4386032810 hasPublicationYear "2023" @default.
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