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. 2022 Jan 31;24(1):3–20. doi: 10.5853/jos.2021.01375

Table 1.

List of studies regarding underlying ICAD in acute LVOS, undertaking rescue angioplasty and/or stenting

Underlying ICAD criteria Stent type GP IIb/IIIa inhibitor Antithrombotics Arms Number Recanalization (%) sICH (%) mRS 0–2 at 3 mo (%) Death at 3 mo (%) Comments
Kim et al. (2012–2018/Korea/Retrospective/Single center) [13]
Tapered shape occlusion SES (Enterprise) Used if determined necessary Post: clopidogrel 300 mg+aspirin 300–500 mg Direct stenting 30 93 0 80* 0 ICAS criteria somewhat vague
Angiographic evidence after 1st microcatheter passage
Leptomeningeal collateral flow well developed
Angiographic finding after mechanical thrombectomy - Thrombectomy 73 90 4 47 11 Rescue stenting 41%
Wu et al. (2014–2017/China/Prospective/Nonrandomized/Multicenter) [14]
Remnant stenosis >70% after mechanical thrombectomy 25 BAA, 51 BMS (Apollo), or 5 SES (Solitarire) Used if determined necessary Pre: clopidogrel 300 mg Rescue AS 81 91 9 64 11 Immediate reocclusion 25% at baseline
Post: clopidogrel 75 mg+aspirin 100 mg
- - - No rescue AS 32 74 13 53 16 Contrast extravasation 22% at baseline
Gross et al. (2004–2018/USA/Retrospective/Single center) [15]
Angiographic finding after initial attempted thrombectomy BMS (Minivision, Integrity, Driver, Taxus) Intraprocedural eptifibatide loading Post: aspirin+clopidogrel loading after CT/MRI Rescue stenting 60 93 8 34 34 ICAS criteria not detailed
Feng et al. (China/Retrospective/Single center) [16]                      
Angiographic finding after mechanical thrombectomy SES (15 Solitaire, 27 Enterprise), and BMS (13 Apollo) Intravenously maintained for 24–36 hours Post: aspirin 300 mg+clopidogrel 300 mg Rescue stenting 55 98 4 79(?) 21(?) CTA and FU lost in many patients
Yang et al. (2014–2016/China/Retrospective/Multicenter) [17]
Other major etiologies excluded 13 BAA, 16 SES, 4 BMS Intravenously loaded and maintained for at least 24 hours if IV tPA not infused Post: aspirin 300 mg+clopidogrel 300 mg if IV tPA not infused Primary AS 33 79 9 70* 9 More favorable baseline characteristics
Arterial calcific lesions
Intracranial atherosclerosis elsewhere
High risk factors of atherosclerosis
Additionally, significant fixed focal stenosis after thrombectomy - - - Thrombectomy 269 86 12 48 20 Big difference in group size
Yoon et al. (2011–2013/Korea/Retrospective/Single center) [18]
Remnant stenosis >70% after mechanical thrombectomy 14 BAA, 24 SES (Wingspan) Not administered Post: aspirin+clopidogrel Rescue AS 38 95 8 63 16 Originally compared with non-ICAS group

ICAD, intracranial atherosclerotic disease; LVOS, large vessel occlusion stroke; GP, glycoprotein; sICH, symptomatic intracranial hemorrhage; mRS, modified Rankin Scale; SES, self-expanding stent; ICAS, intracranial atherosclerotic stenosis; BAA, balloon angioplasty alone; BMS, balloon-mounted stent; AS, angioplasty and/or stenting; CT, computed tomography; MRI, magnetic resonance imaging; CTA, computed tomographic angiography; FU, follow-up; IV tPA, intravenous tissue plasminogen activator.