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Management of acute tandem occlusions: Stent-retriever thrombectomy with emergency stenting or angioplasty
| Content Provider | SAGE Publishing |
|---|---|
| Author | Li, Wei Chen, Zhonglun Dai, Zheng Liu, Rui Yin, Qin Wang, Huaiming Hao, Yonggang Han, Yunfei Qiu, Zhongming Xiong, Yunyun Sun, Wen Zi, Wenjie Xu, Gelin Liu, Xinfeng |
| Copyright Year | 2018 |
| Abstract | ObjectiveTo compare outcomes following intracranial stent retriever-based intracranial thrombectomy (SRT) with emergency extracranial internal carotid artery (EICA) stenting or angioplasty alone in patients presenting with acute stroke due to tandem occlusions of the ICA.MethodsConsecutive patients with acute anterior tandem occlusion who received an endovascular intervention within 6h of symptom onset between January 2013 and June 2016 were included in this prospective study. Demographic, radiological, procedural and clinical outcome data were compared between the stenting and the angioplasty alone groups.ResultsOf the 37 patients eligible for the study, 18 had angioplasty alone and 19 underwent stent placement. Successful recanalization rate was statistically significantly higher in the stenting group than in angioplasty alone group (74% vs. 39%) and although not statistically significant, more patients in the stenting group than in the angioplasty alone group had favourable outcomes (63% vs. 50%). There was no significant difference between groups in rates of symptomatic intracranial haemorrhage (SICH), cerebral herniation or mortality.ConclusionThis study in a small sample size suggests that among patients with acute anterior tandem occlusion, SRT with EICA stenting tended to achieve higher recanalization and improved clinical outcomes at three months compared with SRT and angioplasty alone with a similar rate of SICH and mortality. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/0300060518765310?download=true |
| Starting Page | 2578 |
| Ending Page | 2586 |
| Page Count | 9 |
| ISSN | 03000605 |
| Issue Number | 7 |
| Volume Number | 46 |
| Journal | Journal of International Medical Research (IMR) |
| e-ISSN | 14732300 |
| DOI | 10.1177/0300060518765310 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2018-05-04 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2018 |
| Subject Keyword | extracranial carotid stenting angioplasty Acute tandem occlusion intracranial mechanical thrombectomy |
| Content Type | Text |
| Resource Type | Article |
| Subject | Biochemistry (medical) Cell Biology Biochemistry |
