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1.
1.

No. of the hospital

Groups

No. of the patient

Patient name

Date of stroke onset

yyyy-mm-dd

2.Follow-up 1
1.Inclusion Criteria

Inclusion criteria

2.Exclusion Criteria

Exclusion Criteria

3.Enrolled in this study

Is this patient enrolled in this study

Reason for recruitment failure

4.Basic patient information
2.4.1、Sex

Sex

2.4.2、Age

Age

2.4.3、Medical history

Hypertension

valvular hear disease or infective endocarditis

Diabetes

Hyperlipidemia

Coronary heart disease

Atrial fibrillation

TIA

Cerebral infarction

Smoking

Stenosis or stenting

Bradycardia, hypercoagulability, tumor, and other medical history

2.4.4、mRS before stroke onset

Modified Rankin scale score

Pre-stroke disability mRS score

5.Hospital inspection
2.5.1、Baseline blood pressure

Addmission systolic blood pressure

mmHg

Addmission diastolic blood pressure

mmHg

2.5.2、Baseline biochemical index

Platelet

*10^9/L

Blood glucose,Glu

mmol/L

Hemoglobin A1c,HbA1C

%

Triglyceride,TG

mmol/L

Total cholesterol,TC

mmol/L

Low density lipoprotein cholesterin,LDLC

mmol/L

International normalized ratio,INR

2.5.3、baseline NHISS

Baseline NHISS

2.5.4、Baseline ASPECTS

Baseline ASPECTS

6.Randomized result

Randomized result

3.Follow-up 2
1.Date frame

Onset time

yyyy/yy/yy yy:yy

Visiting time

yyyy/yy/yy yy:yy

CT/MR image time

yyyy/yy/yy yy:yy

Randomization time

yyyy/yy/yy yy:yy

Intravenous thrombolysis time

yyyy/yy/yy yy:yy

Groin puncture time

yyyy/yy/yy yy:yy

Recanalization end time

yyyy/yy/yy yy:yy

2.Intravenous thrombolysis

Intravenous thrombolysis

3.Postoperative NIHSS score at 24h

Postoperative NIHSS at 24h

4.Anesthesia method

Anesthesia method

5.Operation method

Name of operation method

Type of endovascular treatment intracranial

Type of endovascular treatment extracranial

First pass effect

Rescue therapy

Number of stent retriever passes

Number of aspiration passes

First choice of endovascular treatment

Thrombectomy device

Balloon Name and Type

6.Intraoperative drug therapy

Intra-arterial thrombolytic medication

Dosage of intra-arteria thrombolytic

mg/万U

Intra-arterial tirofiban

Dosage of intra-arterial tirofiban

ml

7.occlusion site(CTA/MRA)

Occlusion sites(CTA/MRA)

8.occlusion site(DSA)

Occlusion sites(DSA)

9.Tandem lesion

Tandem lesion

10.Site of extracranial lesions

Site of extracranial lesions

11.Recanalization of blood flow

Extended thrombolysis in cerebral infarction score(eTICI)

12.Cause of stroke

TOAST classification by EVT

13.Collateral circulation

ASITN/SIR grade

4.Follow-up 3
1..Discharge NHISS

NHISS at 5-7days or discharge

2.Postoperation reocclusion

Postoperation reocclusion

3.Confirmation method of postoperative reocclusion

Postoperative reocclusion examination method

4.Technical complications

Arterial perforation

Arterial dissection

Embolization into a new territory

Cerebral vasospasm requiring treatment

Perforating artery rupture

Other

Venous thrombosis

5.Cerebral hemorrhage

Intracerebral hemorrhage

6.hemorrhage type

Intracerebral hemorrhage type

7.Postoperative complications

Cerebral hernia

Decompressive craniectomy

Pulmonary infection

Respiratory failure

Circulatory failure

Venous thrombosis

Death in hospital

Systemic hemorrhage

Other

5.Follow-up 4
1.mRS at 90 days

mRS at 90 days

Date of death

yyyy/yy/yy yy:yy

2.EQ-5D-5L score

EQ-5D-5L score

6.Statement

Date of signature

yyyy-mm-dd

Signature of the monitor