J Stroke.
2025 Jan;27(1):149-153. 10.5853/jos.2024.01935.
Hemorrhagic Complications Following Endovascular Treatment for Atherothrombotic Large Vessel Occlusion
- Fujiwara S1
- Uchida K
2 - Ohta T3
- Ohara N1
- Kawamoto M1
- Yamagami H4
- Toyoda K5
- Matsumaru Y6
- Matsumoto Y7
- Todo K8
- Hayakawa M9
- Shindo S10,11
- Ota S12
- Morimoto M13
- Takeuchi M14
- Imamura H15
- Ikeda H16
- Tanaka K5,17
- Ishihara H18
- Kakita H19
- Sano T20,21
- Araki H22
- Nomura T23
- Beppu M2
- Sakakibara F2
- Shirakawa M2
- Yoshimura S2
- Sakai N24,25
- Affiliations
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- 1Department of Neurology, Kobe City Medical Center General Hospital, Kobe, Japan
- 2Department of Neurosurgery, Hyogo Medical University, Nishinomiya, Japan
- 3Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Japan
- 4Division of Stroke Prevention and Treatment, University of Tsukuba, Tsukuba, Japan
- 5Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan
- 6Department of Neurosurgery, University of Tsukuba, Tsukuba, Japan
- 7Division of Development and Discovery of Interventional Therapy, Tohoku University Hospital, Sendai, Japan
- 8Department of Neurology, Osaka University Graduate School of Medicine, Suita, Japan
- 9Department of Neurology, Institute of Medicine, University of Tsukuba, Tsukuba, Japan
- 10Department of Neurology, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
- 11Department of Neurology, Kumamoto University, Kumamoto, Japan
- 12Department of Neurosurgery, Brain Attack Center Ota Memorial Hospital, Fukuyama, Japan
- 13Department of Neurosurgery, Yokohama Shintoshi Neurosurgical Hospital, Yokohama, Japan
- 14Department of Neurosurgery, Seisho Hospital, Odawara, Japan
- 15Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Japan
- 16Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan
- 17Stroke Center, Kindai University, Osaka-Sayama, Japan
- 18Department of Neurosurgery, Yamaguchi University School of Medicine, Ube, Japan
- 19Department of Neurosurgery, Seijinkai Shimizu Hospital, Kyoto, Japan
- 20Department of Neurosurgery, Japanese Red Cross Ise Hospital, Ise, Japan
- 21Department of Neurosurgery, Mie Prefectural General Medical Center, Yokkaichi, Japan
- 22Department of Neurosurgery, Araki Neurosurgical Hospital, Hiroshima, Japan
- 23Department of Neurosurgery, Ohkawara Neurosurgical Hospital, Muroran, Japan
- 24President, Seijinkai Shimizu Hospital, Kyoto, Japan
- 25Department of Neurovascular Research, Kobe City Medical Center General Hospital, Kobe, Japan
- KMID: 2564276
- DOI: http://doi.org/10.5853/jos.2024.01935
Figure
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Figure 1. Intracranial hemorrhages following endovascular treatment for AT-LVO. AT-LVO, atherothrombotic stroke-related large vessel occlusion; ICH, intracranial hemorrhage; PH, parenchymal hematoma; HI, hemorrhagic infarction; SAH, subarachnoid hemorrhage.
Reference
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References
1. Yoshimura S, Sakai N, Uchida K, Yamagami H, Ezura M, Okada Y, et al. Endovascular therapy in ischemic stroke with acute large-vessel occlusion: recovery by endovascular salvage for cerebral ultra-acute embolism Japan registry 2. J Am Heart Assoc. 2018; 7:e008796.2. de Havenon A, Zaidat OO, Amin-Hanjani S, Nguyen TN, Bangad A, Abbasi M, et al. Large vessel occlusion stroke due to intracranial atherosclerotic disease: identification, medical and interventional treatment, and outcomes. Stroke. 2023; 54:1695–1705.
Article3. Uchida K, Yamagami H, Sakai N, Shirakawa M, Beppu M, Toyoda K, et al. Endovascular therapy for acute intracranial large vessel occlusion due to atherothrombosis: multicenter historical registry. J Neurointerv Surg. 2024; 16:884–891.
Article4. Liang W, Wang Y, Du Z, Mang J, Wang J. Intraprocedural angiographic signs observed during endovascular thrombectomy in patients with acute ischemic stroke: a systematic review. Neurology. 2021; 96:1080–1090.
Article5. von Kummer R, Broderick JP, Campbell BC, Demchuk A, Goyal M, Hill MD, et al. The Heidelberg bleeding classification: classification of bleeding events after ischemic stroke and reperfusion therapy. Stroke. 2015; 46:2981–2986.6. Sinha A, Stanwell P, Beran RG, Calic Z, Killingsworth MC, Bhaskar SMM. Stroke aetiology and collateral status in acute ischemic stroke patients receiving reperfusion therapy—a meta-analysis. Neurol Int. 2021; 13:608–621.
Article7. Anadani M, Marnat G, Consoli A, Papanagiotou P, Nogueira RG, Siddiqui A, et al. Endovascular therapy of anterior circulation tandem occlusions: pooled analysis from the TITAN and ETIS registries. Stroke. 2021; 52:3097–3105.8. Xu S, Sun B, Zhang T, Wu P, Ji Z, Wang C, et al. Staged carotid artery stenting for prevention of hyperperfusion-induced intracerebral hemorrhage in patients with very high-grade carotid stenosis and poor collateral compensation. World Neurosurg. 2023; 171:e38–e46.
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