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- W3214935320 abstract "Introduction: There is a lack of consensus regarding the endovascular management of atherosclerotic tandem occlusions with persistent cervical stenosis during acute ischemic stroke. The aim of this study was to determine if patients who did not undergo stent placement during thrombectomy had better neurological outcomes. Methods: A retrospective analysis of consecutive mechanical thrombectomies for large vessel occlusions at our institution was conducted from 2011 to 2019. Atherosclerotic tandem occlusions with persistently severe cervical stenosis (&ge 70%) before and after thrombectomy were identified and evaluated for clinical baseline data, perioperative data, and post-thrombectomy outcomes such as re-occlusion rates and modified Rankin score at 90 days. Results: A total of 69 patients with atherosclerotic tandem occlusions were identified. Thirty-five patients underwent acute carotid stent placement. Thirty-four patients did not receive a stent and had persistently severe cervical stenosis after thrombectomy. Demographics, NIHSS, reperfusion rates, and length of stay were similar between groups. Post-thrombectomy carotid re-occlusion (p = 0.434) and neurological outcomes (p = 0.82) were similar between stented and non-stented groups at 90 days after discharge. Conclusions: The acute stenting of persistently severe cervical stenosis in atherosclerotic tandem lesions does not reduce the rate of re-occlusion and is not associated with better neurologic outcomes at 90 days after discharge. Randomized clinical trials are warranted to determine a standardized means of endovascular management of atherosclerotic carotid lesions in tandem occlusions during acute ischemic stroke." @default.
- W3214935320 created "2021-12-06" @default.
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- W3214935320 date "2021-11-16" @default.
- W3214935320 modified "2023-10-14" @default.
- W3214935320 title "Abstract 12852: Acute Stenting Of Persistently Stenotic Cervical Lesions In Atherosclerotic Tandem Occlusions Does Not Improve Neurologic Outcomes" @default.
- W3214935320 doi "https://doi.org/10.1161/circ.144.suppl_1.12852" @default.
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