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Table 2 Details of the endovascular treatment and clinical outcomes

From: Local tirofiban infusion for remnant stenosis in large vessel occlusion: tirofiban ASSIST study

 

Non-tirofiban group (n = 59)

Tirofiban group (n = 59)

P value

Onset-to-puncture time

275 (210–482)

395 (274–580)

0.036

Puncture-to-final angiography time

81 (60–101)

65 (42–108)

0.064

Onset-to-reperfusion time

380 (298–646)

467 (345–675)

0.066

First-line endovascular treatment

  

0.096

 Aspiration thrombectomy

29 (49.2%)

33 (55.9%)

 

 Stent retriever

23 (39.0%)

25 (42.4%)

 

 Local fibrinolytics

1 (1.7%)

1 (1.7%)

 

 Angioplasty

6 (10.2%)

0

 

Immediate reocclusion after first endovascular method

10 (17.9%)

24 (41.4%)

0.006

Degree of residual stenosis prior to rescue treatment (%)

80 (71–86)

83 (79–90)

0.056

Rescue treatments

 Local tirofiban infusion only

0

48 (81.4%)

< 0.001

 Stent retriever to aspiration

1 (1.7%)

0

> 0.999a

 Aspiration to stent retriever

8 (13.6%)

3 (5.1%)

0.113

 Intracranial balloon angioplasty

9 (15.3%)

2 (3.4%)

0.027

 Intracranial stenting

12 (20.3%)

6 (10.2%)

0.124

Final AOL 2–3

41 (69.5%)

41 (69.5%)

> 0.999

Final mTICI 2b–3

25 (42.4%)

51 (86.4%)

0.016

Postprocedural reocclusion

12 (37.5%, n = 32)

2 (4.4%, n = 45)

< 0.001

Intracerebral hemorrhage

  

0.311

 HT type 1

4 (6.8%)

2 (3.4%)

 

 HT type 2

6 (10.2%)

3 (5.1%)

 

 PH type 1

3 (5.1%)

1 (1.7%)

 

 PH type 2

6 (10.2%)

3 (5.1%)

 

Subarachnoid hemorrhage

6 (10.2%)

0

0.027a

Intraventricular hemorrhage

8 (13.6%)

1 (1.7%)

0.032a

Serious hemorrhagic complicationb

9 (15.3%)

3 (5.1%)

0.068

Final infarct volume, ml (median, IQR)

38.8 (14.3–92.7)

18.5 (7.9–37.2)

0.023

mRS 0–2 at 3 months

19 (32.2%)

31 (52.5%)

0.025

Mortality

12 (20.3%)

4 (6.8%)

0.031

  1. AOL arterial occlusive lesion, ERT endovascular revascularization therapy, HT hemorrhagic transformation, mRS modified Rankin Scale, MT mechanical thrombectomy, mTICI modified treatment in cerebral ischemia, PH parenchymal hematoma
  2. aFisher’s exact t-test; bSerious hemorrhagic complications consist of parenchymal hematoma type 2 and/or subarachnoid hemorrhage Fisher grade 3–4