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The K-NET registry is a prospective, multicenter, observational registry study for all consecutive patients who received intravenous tPA therapy and/or endovascular treatment for acute ischemic stroke. This study is attended by 40 of the 58 Primary Stroke Centers in Kanagawa Prefecture, which is located in the Tokyo metropolitan area and has a population of 9.24 million. Patient enrollment for this study began in January 2018.
Inclusion criteria for this study are all consecutive patients who meet either or both of the patients who received intravenous tPA therapy for acute ischemic stroke and intention to perform EVT for large vessel occlusion. There were no exclusion criteria. The local neurologists, neurosurgeons, and neurointerventionalists at each institution made the decision to perform EVT and intravenous tPA.
The primary outcome was good as defined by the modified Rankin Scale (mRS) of 0 to 2 at three months. We also determined a favorable outcome: mRS 0-2 or not worsening of the mRS score at three months. Secondary analyses included predicting a favorable outcome using multivariate logistic regression analysis.
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| Measure | Description | Time Frame |
|---|---|---|
| modified Rankin Scale | The Modified Rankin Score (mRS) is a 6 point disability scale with possible scores ranging from 0 to 6. This is the most widely used outcome measure in stroke clinical trials. Standardized interviews to obtain a mRS score are recommended at 3 months following hospital discharge. 0 The patient has no residual symptoms.
| after 3 months |
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Inclusion Criteria:
Inclusion criteria for this study are all consecutive patients who meet either or both of the patients who received intravenous tPA therapy for acute ischemic stroke and intention to perform EVT for large vessel occlusion.
Exclusion Criteria:
There were no exclusion criteria. There are no upper or lower age limits for this study.
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Residents of Kanagawa prefecture in Japan
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| Name | Affiliation | Role |
|---|---|---|
| Toshihiro Ueda, MD | St. Marianna University Toyoko Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St.Marianna University Toyoko Hospital | Kawasaki | Kanagawa | 211-0063 | Japan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41518935 | Derived | Usuki N, Ueda T, Takeuchi M, Morimoto M, Tsuboi Y, Yamamoto R, Takaishi S, Tatsuno K, Ito H, Shimizu T, Yamano Y; K-NET Registry Investigators. Recent outcomes of intravenous tissue plasminogen activator (t-PA) alone in the era of mechanical thrombectomy: A sub-analysis of the Kanagawa Intravenous and Endovascular Treatment (K-NET) registry. Clin Neurol Neurosurg. 2026 Mar;262:109316. doi: 10.1016/j.clineuro.2026.109316. Epub 2026 Jan 7. | |
| 40746094 |
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Derived |
| Ueda T, Hasegawa Y, Takeuchi M, Morimoto M, Yamamoto R, Tsuboi Y, Kaga Y, Ito H, Onodera H, Takaishi S, Tatsuno K, Usuki N, Yoshie T, Murata H, Yamano Y; K-NET Registry Investigators. Comparative analysis of outcome-associated factors following endovascular treatment for intracranial atherosclerotic disease and cardioembolism: A subanalysis of the K-NET registry. Interv Neuroradiol. 2025 Aug 1:15910199251361304. doi: 10.1177/15910199251361304. Online ahead of print. |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |