P120 Rescue stenting with CREDO® heal for recanalisation after unsuccessful thrombectomy (RECHRUT) – Interim results

<h3>Introduction</h3> Up to 30% intracranial Mechanical Thrombectomies (MT) may not result in recanalization due to an underlying stenosis, dissection or tough clot. Bail-out stenting has been reported to be a treatment option to achieve recanalization and good clinical outcome. <h3>Aim of Study</h3> In the Rescue Stenting with CREDO^® Heal for Recanalisation after Unsuccessful Thrombectomy (RECHRUT) study the efficacy and safety of the coated CREDO^® heal for Bail-out stenting is evaluated. <h3>Methods</h3> RECHURT is a prospective, single-arm, multicentre, open-label international PMCF study. Patients treated with CREDO^® heal due to acute ischemic stroke and large vessel occlusion after unsuccessful MT and suspected underlying stenosis are included. Technical success is defined as mTICI 2b-3 recanalization and good clinical outcome at 90 (±20) days as mRS 0-2. <h3>Results</h3> Starting in March 2023, eighteen patients have been enrolled by 8 of 17 participating European sites. Mean age was 71 years and mean mRS at admission was 3.2. Treatment was successful in all cases achieving mTICI 2b-3 recanalization in 100%. Mean mRS at discharge was 2.2; mRS at 90d was available in 9 patients with 0-2 in 78%. Mean stenosis grade was 82% before and 28% after PTA and stenting. Periprocedural severe adverse events occurred in 33%. No recurrent occlusions occurred. GP IIb/IIIa antagonists were administered periprocedurally and switched two dual antiplated therapy during the hospital stay. <h3>Conclusion</h3> The RECHRUT study is including patients and the early interim analysis shows technical and clinical success in line with the literature of rescue stenting. <h3>Disclosure of Interest</h3> yes Speaker Honoraria by Acandis.