Carotid artery stenting in the context of endovascular treatment of acute ischemic stroke.

Abstract:

UNLABELLED:Mechanical thrombectomy as an adjunctive to intravenous thrombolysis is now the standard treatment for acute ischemic stroke (AIS) due to large vessel occlusions. However, the best management of acute carotid tandem occlusions (CTO) remains controversial. METHOD:Twenty patients underwent endovascular treatment of acute CTO. The primary endpoint was the composite rate of complete or partial recanalization without a symptomatic intracranial hemorrhage (sICH). Secondary endpoints were recanalization times, procedure times, and clinical outcomes at three months. RESULTS:The primary endpoint was reached in 17 (85%) patients. Recanalization rate was reached in 90% of patients (19/20) and sICH rate was 5% (1/20). At the 3-month follow-up we obtained a mRS ≤ 2 rate of 35% (7/20) and a mortality rate of 20% (4/20). CONCLUSION:Carotid angioplasty stenting and endovascular treatment of AIS due to CTO appears effective with an acceptable rate of sICH.

journal_name

Arq Neuropsiquiatr

authors

Lucena AF,Castro-Afonso LH,Monsignore LM,Nakiri GS,Fábio SR,Pontes Neto O,Abud DG

doi

10.1590/0004-282X20150213

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

212-8

issue

3

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2016000300007

journal_volume

74

pub_type

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