Intracranial Atherosclerosis, Posterior Circulation Brain Infarction, Stroke, Ischemic
Conditions
Brief summary
Early identification of intracranial atherosclerotic disease (ICAD) may impact the management of patients undergoing mechanical thrombectomy (MT). The aim of the study is to develop and validate a scoring system for pre-thrombectomy diagnosis of ICAD in posterior circulation large vessel/distal medium vessel occlusion strokes (LVOs/DMVOs).
Interventions
We are aiming to develop a Scoring system based on certain variables derived from both group
Sponsors
Study design
Eligibility
Inclusion criteria
1. Adult ≥18 years 2. Patient with posterior circulation strokes who underwent mechanical thrombectomy.
Exclusion criteria
1. Patients with anterior circulation stroke. 2. Patients with intracranial hemorrhage 3. Patients without baseline radiological data. 4. Extracranial large vessel atherosclerosis related strokes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-procedural outcomes included any intracranial hemorrhage, symptomatic ICH (sICH) | June 1st, 2025 | sICH is defined as local or remote parenchymal hemorrhage type 2, subarachnoid hemorrhage, and/or intraventricular hemorrhage, combined with a neurological deterioration of 4 points or more on the NIHSS from baseline or leading to death that the physician judged was causative of the deterioration) per ECASS III criteria |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 90 day modified Rankin scale (mRS) | June 1st, 2025 | a score of 0 to 4 on the modified Rankin scale (range, 0 to 6, with a score of 0 indicating no disability, 4 moderately severe disability, and 6 death) at 90 days, was changed to a good functional status (a modified Rankin scale score of 0 to 3, with a score of 3 indicating moderate disability) |
| 90 day mortality | June 1st, 2025 | — |
Countries
Egypt, United States