Enterprise 2 stent outcomes in hyperacute ischemic stroke with intracranial artery stenosis.

Purpose: Recent studies have indicated that intracranial stenting may positively affect the prognosis of patients with ischemic stroke. However, most patients included in these studies were in the hyperacute stage of ischemic stroke. Moreover, few studies with limited numbers of patients have examin...

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Publicado en:Neuroradiology Vol. 67; no. 5; pp. 1293 - 1301
Autores principales: Lee, Chan-Hyuk, Ha, Sang Woo, Shin, Byoung-Soo, Kang, Hyun Goo
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Springer Nature May2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2025
      vid: 67
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00234-025-03621-1
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        atl: Enterprise 2 stent outcomes in hyperacute ischemic stroke with intracranial artery stenosis.
      aug:
        au:
          Lee, Chan-Hyuk
          Ha, Sang Woo
          Shin, Byoung-Soo
          Kang, Hyun Goo
        affil: https://ror.org/03sab2a45 Ulsan University Hospital, Ulsan, Korea, Republic of
      sug:
        subj:
          Stents
          Ischemic Stroke Surgery
          Intracranial Arterial Diseases Complications
          Constriction, Pathologic Complications
          Treatment Outcomes
          Ischemic Stroke Prognosis
          Funding Source
          Human
          Retrospective Design
          Thrombectomy
          Middle Age
          Aged
          Aged, 80 and Over
          Male
          Female
          Descriptive Statistics
          Middle Cerebral Artery Pathology
          Reocclusion, Arterial Diagnosis
          Scales
          Smoking
          After Care
          Magnetic Resonance Angiography
          Computed Tomography Angiography
          T-Tests
          Chi Square Test
          Logistic Regression
          Confidence Intervals
          Data Analysis Software
          Record Review
          NIH Stroke Scale
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: Recent studies have indicated that intracranial stenting may positively affect the prognosis of patients with ischemic stroke. However, most patients included in these studies were in the hyperacute stage of ischemic stroke. Moreover, few studies with limited numbers of patients have examined the factors affecting the prognosis of patients with hyperacute stroke. Therefore, this study aimed to evaluate patient prognosis and factors associated with emergent intracranial stenting with the Enterprise 2 stent in patients with hyperacute ischemic stroke secondary to sudden intracranial artery occlusion. Methods: Patients with hyperacute ischemic stroke admitted to a single institution between January 2017 and December 2019 were retrospectively analyzed. Sixty-five patients with major intracranial artery occlusion associated with neurological deficits were selected. All patients underwent emergent intracranial stenting of the index artery after mechanical thrombectomy. We investigated the following composite outcomes: death, vessel reocclusion, and stroke recurrence. Results: Participants' mean age was 69.9 ± 12.3 years, and 57.6% were males. The middle cerebral artery was the most occluded (61.0%). The mean follow-up period was 8.4 ± 6.4 months; four patients developed arterial reocclusion. At the end of the follow-up period, the mean modified Rankin scale score was 4 and composite outcomes were observed in 14 patients. Conclusions: Emergent intracranial stenting using the Enterprise 2 stent resulted in a relatively favorable prognosis in patients with acute ischemic stroke. In addition, smoking status and the National Institutes of Health Stroke Scale score at admission were significant prognostic factors.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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