Benefit of endovascular thrombectomy for M2 middle cerebral artery occlusion in the ARISE II study.

de Havenon, Adam; Narata, Ana Paula; Amelot, Aymeric; Saver, Jeffrey L; Bozorgchami, Hormozd; Mattle, Heinrich Paul; Ribo, Marc; Andersson, Tommy; Zaidat, Osama O (2020). Benefit of endovascular thrombectomy for M2 middle cerebral artery occlusion in the ARISE II study. (In Press). Journal of neurointerventional surgery BMJ Publishing Group 10.1136/neurintsurg-2020-016427

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BACKGROUND

The benefit of endovascular thrombectomy for acute ischemic stroke with M2 segment middle cerebral artery occlusion remains controversial, with uncertainty and paucity of data specific to this population.

OBJECTIVE

To compare outcomes between M1 and M2 occlusions in the Analysis of Revascularization in Ischemic Stroke with EmboTrap (ARISE II) trial.

METHODS

We performed a prespecified analysis of the ARISE II trial with the primary outcome of 90-day modified Rankin Scale score of 0-2, which we termed good outcome. Secondary outcomes included reperfusion rates and major adverse events. The primary predictor was M2 occlusion, which we compared with M1 occlusion.

RESULTS

We included 183 patients, of whom 126 (69%) had M1 occlusion and 57 (31%) had M2 occlusion. There was no difference in the reperfusion rates or adverse events between M2 and M1 occlusions. The rate of good outcome was not different in M2 versus M1 occlusions (70.2% vs 69.7%, p=0.946). In a logistic regression model adjusted for age, sex, and baseline National Institutes of Health Stroke Scale score, M2 occlusions did not have a significantly different odds of good outcome compared with M1 occlusions (OR 0.94, 95% CI 0.47 to 1.88, p=0.87).

CONCLUSION

In ARISE II, M2 occlusions achieved a 70.2% rate of good outcome at 90 days, which is above published rates for untreated M2 occlusions and superior to prior reports of M2 occlusions treated with endovascular thrombectomy. We also report similar rates of good outcome, successful reperfusion, death, and other adverse events when comparing the M1 and M2 occlusions.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Mattle, Heinrich

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1759-8486

Publisher:

BMJ Publishing Group

Language:

English

Submitter:

Chantal Kottler

Date Deposited:

30 Dec 2020 11:57

Last Modified:

17 Mar 2021 02:33

Publisher DOI:

10.1136/neurintsurg-2020-016427

PubMed ID:

33219148

Uncontrolled Keywords:

angiography brain stroke thrombectomy

BORIS DOI:

10.48350/149345

URI:

https://boris.unibe.ch/id/eprint/149345

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