Two in One: Endovascular Treatment of Acute Tandem Occlusions in the Anterior Circulation.

Abstract:

PURPOSE:Acute major stroke with high-grade stenosis or occlusion of the extracranial internal carotid artery (ICA) and additional intracranial large artery occlusion is increasingly treated with a mechanical endovascular approach by extracranial stenting and intracranial thrombectomy due to poor response to systemic thrombolysis with recombinant tissue plasminogen activator (rtPA). This article presents a single centre cohort of this challenging subtype of stroke, describing the technical procedure and analysing the angiographic and clinical outcome. METHODS:Clinical and imaging data of all consecutive patients between July 2008 and March 2013 with intracranial artery occlusion in the anterior circulation and additional occlusion or pseudo-occlusion of the cervical ICA were retrospectively analysed with respect to demographical and clinical characteristics. Technical approach, recanalization rate, recanalization time and short-term clinical outcome were determined. RESULTS:A total of 43 patients with tandem occlusion in the anterior circulation met the inclusion criteria. Out of these, 32 (74.4%) occlusions and 11 (25.6%) pseudo-occlusions of the extracranial ICA with additional occlusion of the distal segment of the ICA in 7.0% (3/43), the M1-segment of the middle cerebral artery (MCA) in 81.4% (35/43) or the M2-segment of the MCA in 11.6% (5/43) of cases were treated with combined endovascular approach including extracranial stenting with angioplasty and intracranial mechanical thrombectomy. In 76.7% of cases, an angiographic recanalization result of 2b or 3 using the Thrombolysis in Cerebral Infarction (TICI) score was achieved. Mean time from first angiographic series to recanalization was 103 min. A modified Rankin Scale (mRS) score of ≤ 2 was achieved in 32.6% at the time of discharge. CONCLUSION:Endovascular therapy of patients with tandem occlusion in the anterior circulation with emergency extracranial stenting and intracranial mechanical thrombectomy appears to be safe and may lead to a satisfactory angiographic result and clinical outcome.

journal_name

Clin Neuroradiol

journal_title

Clinical neuroradiology

authors

Maurer CJ,Joachimski F,Berlis A

doi

10.1007/s00062-014-0318-2

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

397-402

issue

4

eissn

1869-1439

issn

1869-1447

pii

10.1007/s00062-014-0318-2

journal_volume

25

pub_type

临床试验,杂志文章
  • Value of Flat-detector Computed Tomography Angiography with Intravenous Contrast Media Injection in the Evaluation and Treatment of Acutely Ruptured Aneurysms of the AcomA complex: A Single Center Experience in 15 Cases.

    abstract:OBJECTIVE:To illustrate the added value of flat-detector computed tomography angiography with intravenous contrast media injection (intravenous FDCTA) in the evaluation of complex A1/A2/AcomA aneurysms. PATIENTS AND METHODS:We retrospectively reviewed 15 patients with ruptured aneurysms. In each patient, an intravenou...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-017-0592-x

    authors: Rösch J,Lang S,Gölitz P,Kallmünzer B,Rössler K,Doerfler A,Struffert T

    更新日期:2018-12-01 00:00:00

  • Subtle Imaging Findings Aid the Diagnosis of Adolescent Hereditary Spastic Paraplegia and Ataxia.

    abstract:PURPOSE:Hereditary spastic paraplegia (HSP) and hereditary spastic ataxia (HSA) are a heterogeneous group of genetic disorders characterized by progressive lower limb spasticity resulting from pyramidal tract dysfunction. By identifying critical imaging findings within the clinical context of spasticity, radiologists a...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-018-0665-5

    authors: Wagner F,Titelbaum DS,Engisch R,Coskun EK,Waugh JL

    更新日期:2019-06-01 00:00:00

  • Comparison of ESWAN, SWI-SPGR, and 2D T2*-weighted GRE sequence for depicting cerebral microbleeds.

    abstract:PURPOSE:We aimed to compare images obtained with an Enhanced 3D multi-echo GRE T2*-weighted angiography (ESWAN) sequence with those obtained with a susceptibility-weighted imaging-spoiled gradient-recalled echo (SWI-SPGR) sequence and a two-dimensional (2D) T2*-weighted gradient-recalled echo (GRE) sequence for the des...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-012-0185-7

    authors: Guo LF,Wang G,Zhu XY,Liu C,Cui L

    更新日期:2013-06-01 00:00:00

  • Visualization of the Abducens Nerve in its Petroclival Segment Using Contrast-Enhanced FIESTA MRI: The Size of the Petroclival Venous Confluence Affects Detectability.

    abstract:PURPOSE:Visualization of the abducens nerve in its petroclival segment still remains challenging. We aimed to investigate the detectability of the petroclival segment of the abducens nerve and to evaluate the role of the size of the petroclival venous confluence (PVC) in the visibility of the nerve using contrast-enhan...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-015-0415-x

    authors: Özgür A,Esen K,Kara E,Temel GO

    更新日期:2017-03-01 00:00:00

  • Flow-diverter Stents for Internal Carotid Artery Reconstruction Following Spontaneous Dissection: A Technical Report.

    abstract:BACKGROUND AND PURPOSE:Extracranial internal carotid artery (ICA) dissection is an important cause of ischemic stroke in younger adults. The optimal medical and surgical strategies for managing these lesions have not been well established. We report a case series of extracranial ICA reconstruction using overlapping flo...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-018-0707-z

    authors: Hilditch CA,Brinjikji W,Schaafsma J,Anderson Tsang CO,Nicholson P,Agid R,Krings T,Pereira VM

    更新日期:2019-12-01 00:00:00

  • Parametric color coding of digital subtraction angiography in the evaluation of carotid cavernous fistulas.

    abstract:PURPOSE:Angiographic assessment of carotid cavernous fistulas (CCFs) can be complex. Our purpose was to examine whether the use of parametric color coding in the postprocessing of DSA series is advantageous in the evaluation of CCFs. METHODS:We enrolled 16 patients with angiographically proven CCFs. Endovascular treat...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-012-0184-8

    authors: Gölitz P,Struffert T,Lücking H,Rösch J,Knossalla F,Ganslandt O,Deuerling-Zheng Y,Doerfler A

    更新日期:2013-06-01 00:00:00

  • Correction to: Long-term Outcome of Angioplasty Using a Wingspan Stent, Post-Stent Balloon Dilation and Aggressive Restenosis Management for Intracranial Arterial Stenosis.

    abstract::Correction to: Clin Neuroradiol 2019 https://doi.org/10.1007/s00062-019-00793-1The original version of this article unfortunately contained some mistakes. The Institutional Review Board number was given wrongly in the Methods/Participants section and in the Compliance with ethical guidelines/Ethical. ...

    journal_title:Clinical neuroradiology

    pub_type: 已发布勘误

    doi:10.1007/s00062-020-00877-3

    authors: Park SC,Cho SH,Kim MK,Kim JE,Jang WY,Lee MK,Jo KD,You SH

    更新日期:2020-03-01 00:00:00

  • [Middle cerebral artery infarct after aneurysm coiling].

    abstract::The report concerns a 44-year-old female patient with incidental left middle cerebral artery aneurysm. After endovascular therapy by coiling, a hemiparesis was observed following extubation. Disturbance of speech and disorientation added later. An infarct of the lenticular nucleus was found. The angiography showed an ...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-010-0007-8

    authors: Turowski B,Becker H

    更新日期:2010-06-01 00:00:00

  • Magnetic resonance imaging appearance of primary spinal extradural Ewing's sarcoma: case report and literature review.

    abstract:PURPOSE:Primary spinal extradural Ewing's sarcoma (PSEES) or primitive neuroectodermal tumor (PNET) is uncommon. The present study summarizes the magnetic resonance (MR) imaging appearance of PSEES. METHODS:Literature search from 1994 to 2012 with our representative case presentation. RESULTS:Twenty-one patients, 12 ...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00062-013-0222-1

    authors: Tsutsumi S,Yasumoto Y,Manabe A,Ogino I,Arai H,Ito M

    更新日期:2013-06-01 00:00:00

  • First Line Onyx Embolization in Ruptured Pediatric Arteriovenous Malformations : Safety and Efficacy.

    abstract:PURPOSE:Brain arteriovenous malformations (bAVM) are the main cause of pediatric intracerebral hemorrhage (pICH). Embolization with Onyx (ev3, Irvine, CA, USA) in children with ruptured bAVM has been infrequently reported. The aim of this study was to assess the safety and efficacy profile of Onyx embolization as first...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-019-00861-6

    authors: Alias Q,Boulouis G,Blauwblomme T,Benichi S,Beccaria K,Gariel F,Garzelli L,Meyer P,Kossorotoff M,Boddaert N,Brunelle F,Naggara O

    更新日期:2019-12-04 00:00:00

  • Acute Basilar Artery Occlusion with Underlying High-Grade Basilar Artery Stenosis: Multimodal Endovascular Therapy in a Series of Seven Patients.

    abstract:PURPOSE:Acute basilar artery occlusion is associated with high rates of major morbidity and mortality. In rare cases, the underlying pathology is a high-grade stenosis of the basilar artery. We report on a series of seven cases with occluded high-grade basilar artery stenosis who received endovascular therapy at our ce...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-014-0303-9

    authors: Behme D,Weber W,Mpotsaris A

    更新日期:2015-09-01 00:00:00

  • Advanced MR Imaging in Neuro-oncology.

    abstract::The value of magnetic resonance (MR) imaging for the clinical management of brain tumour patients has greatly increased in recent years through the introduction of functional MR sequences. Previously, MR imaging for brain tumours relied for the most part on contrast-enhanced T1-weighted MR sequences but today with the...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00062-015-0439-2

    authors: Radbruch A,Bendszus M

    更新日期:2015-10-01 00:00:00

  • Neuroradiological viewpoint on the diagnostics of space-occupying brain lesions.

    abstract::Conventional magnetic resonance (MR) imaging of space-occupying lesions may answer most of the questions concerning the diagnosis and subsequent treatment strategies if patient age, clinical and paraclinical findings are considered as well. However, crucial and relevant differential diagnoses require additional MR met...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00062-011-0073-6

    authors: Faehndrich J,Weidauer S,Pilatus U,Oszvald A,Zanella FE,Hattingen E

    更新日期:2011-09-01 00:00:00

  • Complication Risk Factors in Anterior Choroidal Artery Aneurysm Treatment.

    abstract:OBJECT:The anterior choroidal artery (AChoA) is a rare location for intracranial aneurysms. The treatment of these aneurysms may be challenging due to the risk of occlusion of such a small and eloquent artery as the AChoA. We aimed to evaluate the risk factors for complications in AChoA aneurysm treatment. METHODS:We ...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-017-0575-y

    authors: André A,Boch AL,Di Maria F,Nouet A,Sourour N,Clémenceau S,Gabrieli J,Degos V,Zeghal C,Chiras J,Cornu P,Clarençon F

    更新日期:2018-09-01 00:00:00

  • Posterior Circulation Occlusions May Be Associated with Distal Emboli During Thrombectomy : Factors for Distal Embolization and a Review of the Literature.

    abstract:BACKGROUND:Distal embolization or movement of the thrombus to previously uninvolved vasculature are feared complications during stroke thrombectomy. We looked at associated factors in a consecutive series of patients who underwent thrombectomy with the same endovascular device. METHODS:We included all patients with ac...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00062-018-0679-z

    authors: Yeo LLL,Holmberg A,Mpotsaris A,Söderman M,Holmin S,Kuntze Söderqvist A,Ohlsson M,Bhogal P,Gontu V,Andersson T,Brouwer PA

    更新日期:2019-09-01 00:00:00

  • Iatrogenic Vessel Dissection in Endovascular Treatment of Acute Ischemic Stroke.

    abstract:PURPOSE:Knowledge about the localization and outcome of iatrogenic dissection (ID) during endovascular treatment of acute ischemic stroke (AIS) is limited. We aimed to determine the frequency, clinical aspects and morphology of ID in endovascular AIS treatment and to identify predictors of this complication. METHODS:D...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-017-0639-z

    authors: Goeggel Simonetti B,Hulliger J,Mathier E,Jung S,Fischer U,Sarikaya H,Slotboom J,Schroth G,Mordasini P,Gralla J,Arnold M

    更新日期:2019-03-01 00:00:00

  • Orbital masses: the usefulness of diffusion-weighted imaging in lesion categorization.

    abstract:INTRODUCTION:Diffusion-weighted imaging (DWI) produces contrast among different kinds of tissues according to their diffusibility characteristics. The purpose of our study was to evaluate the role of DWI including measurement of apparent diffusion coefficient (ADC) values in recognizing benignancy or malignancy of orbi...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-013-0234-x

    authors: Fatima Z,Ichikawa T,Ishigame K,Motosugi U,Waqar AB,Hori M,Iijima H,Araki T

    更新日期:2014-06-01 00:00:00

  • MR angiography at 3 Tesla to assess proximal internal carotid artery stenoses: contrast-enhanced or 3D time-of-flight MR angiography?

    abstract:PURPOSE:The aim of this study was to compare the diagnostic accuracy of 3D time-of-flight (TOF-MRA) and contrast-enhanced (CE-MRA) magnetic resonance angiography at 3 T for detection and quantification of proximal high-grade stenosis using multidetector computed tomography angiography (MDCTA) as reference standard. ME...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-013-0279-x

    authors: Weber J,Veith P,Jung B,Ihorst G,Moske-Eick O,Meckel S,Urbach H,Taschner CA

    更新日期:2015-03-01 00:00:00

  • Optical Coherence Tomography as an Adjunct During Carotid Artery Stenting for Carotid Atherosclerotic Disease.

    abstract:PURPOSE:Carotid artery stenting (CAS) has been proven to decrease the risk of stroke in symptomatic patients with moderate/high-grade carotid stenosis; however, there is an increased periprocedural risk of stroke with CAS compared to carotid endarterectomy. The goal of this article is to report the utilization of endov...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-019-00799-9

    authors: Pasarikovski CR,Ramjist J,da Costa L,Black SE,Cardinell J,Yang VX

    更新日期:2020-09-01 00:00:00

  • Clinical Significance of Circumferential Aneurysmal Wall Enhancement in Symptomatic Patients with Unruptured Intracranial Aneurysms: a High-resolution MRI Study.

    abstract:BACKGROUND AND PURPOSE:The estimates on the risk of rupture of intracranial aneurysms remain a controversial topic. Circumferential aneurysmal wall enhancement (CAWE) on vessel wall magnetic resonance imaging (MRI) has been described in unstable aneurysms. Sentinel headaches and third nerve palsy are possible symptoms ...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-017-0598-4

    authors: Fu Q,Guan S,Liu C,Wang K,Cheng J

    更新日期:2018-12-01 00:00:00

  • Approaching the Boundaries of Endovascular Treatment in Acute Ischemic Stroke : Multicenter Experience with Mechanical Thrombectomy in Vertebrobasilar Artery Branch Occlusions.

    abstract:PURPOSE:Little is known about catheter-based endovascular treatment of vertebrobasilar artery branch occlusion (VEBABO) in acute ischemic stroke (AIS). Nonetheless, the experience of mechanical thrombectomy (MT) in distal small sized arteries of the anterior circulation seems promising in AIS. In this multicenter study...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-020-00970-7

    authors: Styczen H,Fischer S,Yeo LL,Yong-Qiang Tan B,Maurer CJ,Berlis A,Abdullayev N,Kabbasch C,Kastrup A,Papanagiotou P,Clajus C,Lobsien D,Piechowiak E,Kaesmacher J,Maus V

    更新日期:2020-10-27 00:00:00

  • Endovascular treatment of isolated posterior inferior cerebellar artery dissecting aneurysms: parent artery occlusion or selective coiling?

    abstract:PURPOSE:Isolated posterior inferior cerebellar artery dissecting aneurysms are rare lesions. Their underlying pathology, presentation, and natural history are poorly understood. Their treatment is controversial, and few data are available regarding the best treatment. We conducted the first study comparing selective co...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-013-0247-5

    authors: Trivelato FP,Salles Rezende MT,Castro GD,Manzato LB,Santoro Araújo JF,Ulhôa AC

    更新日期:2014-09-01 00:00:00

  • Prevalence of incidental narrowing of the superior segment of the internal jugular vein in patients without multiple sclerosis.

    abstract:PURPOSE:Internal jugular vein (IJV) narrowing superiorly is likely relatively frequent. IJV narrowing has been proposed as a potential pathophysiologic component for multiple sclerosis (MS). Our purpose was to investigate the prevalence of incidental superior IJV narrowing in patients imaged with neck computed tomograp...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-013-0232-z

    authors: Diehn FE,Schwartz KM,Hunt CH,Eckel LJ,Campeau NG,Carter RE,Allred JB,Kallmes DF

    更新日期:2014-06-01 00:00:00

  • Isometric non-machine-based prevention training program: effects on the cross-sectional area of the paravertebral muscles on magnetic resonance imaging.

    abstract:PURPOSE:The purpose of this study was to determine potential effects of isometric non-machine-based training on the cross-sectional area (CSA) of the paravertebral muscles in volunteers who were participants in a prevention program. An increase in the CSA of back muscles after various machine-based exercises have been ...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-011-0104-3

    authors: Lescher S,Bender B,Eifler R,Haas F,Gruber K,Felber S

    更新日期:2011-11-01 00:00:00

  • Imaging Features of Pilocytic Astrocytoma in Cerebral Ventricles.

    abstract:PURPOSE:Our aim was to identify imaging characteristics of pilocytic astrocytomas (PAs) in the cerebral ventricles to help radiologists distinguish PAs from other brain tumors preoperatively. METHODS:Twelve postsurgery patients with a pathological PA diagnosis were included. Among them, 10 had submitted to surgery bas...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-015-0370-6

    authors: Xia J,Yin B,Liu L,Lu Y,Geng D,Tian W

    更新日期:2016-09-01 00:00:00

  • Carotid angioplasty and stenting without protection devices: safety and efficacy concerns--single center experience.

    abstract:PURPOSE:Against the background of the increasing dilemma in the scientific community regarding protected versus unprotected carotid artery stent (CAS) placement and the disputed points in interpreting the results of scientific studies as well as the difficulty in conducting such randomized controlled studies, this arti...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-011-0057-6

    authors: Mansour OY,Weber J,Niesen W,Schumacher M,Berlis A

    更新日期:2011-06-01 00:00:00

  • Correlation of diffusion MRI findings with lesion progression in patients with traumatic intracerebral hemorrhage : diffusion MRI in traumatic intracerebral hemorrhages with progression.

    abstract:PURPOSE:The aim of this study is to evaluate the association between lesion progression and the ischemic or edematous area that can develop around the hemorrhage in intraparenchymal hemorrhagic lesions originating after head trauma. METHODS:Thirty patients with intracerebral hemorrhage due to head trauma of a mild or ...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-013-0251-9

    authors: Erol FS,Donmez O,Akgun B,Yildirim H,Kaplan M

    更新日期:2014-12-01 00:00:00

  • Stent Retriever Thrombectomy with Mindframe Capture LP in Isolated M2 Occlusions.

    abstract:BACKGROUND AND PURPOSE:Mechanical thrombectomy is an effective recanalization technique in acute ischemic stroke patients with large vessel occlusions; however, it is unclear to what extent stent retriever thrombectomy may be applicable to occlusions of smaller peripheral cerebral vessels. The outcome of patients with ...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-018-0739-4

    authors: Dobrocky T,Bellwald S,Kurmann R,Piechowiak EI,Kaesmacher J,Mosimann PJ,Zibold F,Jung S,Arnold M,Fischer U,Gralla J,Mordasini P

    更新日期:2020-03-01 00:00:00

  • Sex Differences in Outcome After Thrombectomy for Acute Ischemic Stroke are Explained by Confounding Factors.

    abstract:PURPOSE:The aim of this study was to analyze sex differences in outcome after thrombectomy for acute ischemic stroke in clinical practice in a large prospective multicenter registry. METHODS:Data of consecutive stroke patients treated with thrombectomy (June 2015-April 2018) derived from an industry-independent regist...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-020-00983-2

    authors: Deb-Chatterji M,Schlemm E,Flottmann F,Meyer L,Alegiani A,Brekenfeld C,Fiehler J,Gerloff C,Thomalla G,GSR-ET Investigators.

    更新日期:2020-12-21 00:00:00

  • SVM-Based Normal Pressure Hydrocephalus Detection.

    abstract:BACKGROUND AND PURPOSE:As magnetic resonance imaging (MRI) signs of normal pressure hydrocephalus (NPH) may precede clinical symptoms we sought to evaluate an algorithm that automatically detects this pattern. METHODS:A support vector machine (SVM) was trained in 30 NPH patients treated with ventriculoperitoneal shunt...

    journal_title:Clinical neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00062-020-00993-0

    authors: Rau A,Kim S,Yang S,Reisert M,Kellner E,Duman IE,Stieltjes B,Hohenhaus M,Beck J,Urbach H,Egger K

    更新日期:2021-01-26 00:00:00