Rescue Stenting for Failed Mechanical Thrombectomy in Acute Ischemic Stroke: Systematic Review and Meta-analysis.

ABSTRACT:

Background

When mechanical thrombectomy (MT) fails to achieve successful reperfusion, rescue stenting (RS) has proven to be a feasible rescue therapy. However, the available evidence remains underpowered to assess clinical outcomes. We aimed to compare the safety and efficacy of RS versus routine medical management in patients with failed MT using an aggregated meta-analysis.

Methods

A systematic review was performed from inception to July 2022 of all studies using RS after failed MT. Outcomes of interest included a modified Rankin scale score of 0-2 at 90 days, successful reperfusion (modified Thrombolysis in Cerebral Infarction 2b-3) after RS and symptomatic intracranial hemorrhage. A random-effects meta-analysis between the RS and medical treatment arms was performed to c

SUBMITTER: Rodriguez-Calienes A 

PROVIDER: S-EPMC12778681 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature