作者
Marc Rodrigo-Gisbert, Matúš Hoferica, Alvaro García-Tornel, Manuel Requena, Marta Rubiera, Marta De Dios Lascuevas, Marta Olivé-Gadea, Francesco Diana, Federica Rizzo, Marian Muchada, Tomás Carmona, Noelia Rodriguez-Villatoro, David Rodríguez-Luna, Jesus Juega, Jorge Pagola, David Hernández, Carlos A Molina, Alejandro Tomasello, Christophe Cognard, Marc Ribo
发表日期
2024/6/7
期刊
American Journal of Neuroradiology
出版商
American Journal of Neuroradiology
简介
BACKGROUND AND PURPOSE
Angioplasty and stenting (A&S) have been described as bailout technique in individuals with failed thrombectomy. We aim to investigate Stent retriever AssIsted Lysis (SAIL) with tirofiban prior to A&S.
MATERIALS AND METHODS
Patients from 2 comprehensive stroke centers were reviewed (2020-2023). We included patients with failed thrombectomy and/or underlying intracranial stenosis who received SAIL with tirofiban prior to intended A&S.
SAIL consisted in deploying a SR through the occluding lesion to create a by-pass channel and infuse 10ml of tirofiban over 10 minutes either intraarterially (IA) or intravenously (IV). The SR was re-sheathed before retrieval. Primary endpoints were successful reperfusion (eTICI 2b-3) and sICH. Additional endpoints included 90-day mRS 0-2 and mortality.
RESULTS
After a median of 3 (IQR 2-4) passes, 44 patients received the SAIL bridging …
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M Rodrigo-Gisbert, M Hoferica, A García-Tornel… - American Journal of Neuroradiology, 2024