Endovascular treatment of acute ischemic stroke patients with tandem lesions: antegrade versus retrograde approach.
Galecio-Castillo M, Abraham M, Farooqui M, Hassan A, Divani A, Jumaa M, Ribo M, Petersen N, Fifi J, Guerrero W, Malik A, Siegler J, Nguyen T, Sheth S, Yoo A, Linares G, Janjua N, Quispe-Orozco D, Qureshi A, Tekle W, Ikram A, Zaidi S, Zevallos C, Taborda B, Devarajan A, Zhang L, Abdalkader M, Salazar-Marioni S, Soomro J, Gordon W, Rodriguez-Calienes A, Vivanco-Suarez J, Woolfolk K, Mokin M, Yavagal D, Ortega-Gutierrez S. Endovascular treatment of acute ischemic stroke patients with tandem lesions: antegrade versus retrograde approach. Journal Of Neurosurgery 2023, 140: 1726-1735. PMID: 38157542, PMCID: PMC11271811, DOI: 10.3171/2023.10.jns231702.Peer-Reviewed Original ResearchConceptsSymptomatic intracranial hemorrhageFirst-pass effectExcellent recanalizationRetrograde approachMRS scoreRecanalization timePuncture to recanalization timeTreatment of acute ischemic stroke patientsTandem lesionsAcute ischemic stroke patientsMRS score 0Acute ischemic strokeIschemic stroke patientsAntegrade groupIntracranial hemorrhageEndovascular treatmentMulticenter studyGroin punctureSafety profileEndovascular therapyAcute stentingProcedural outcomesScore 0Ordinal shiftTL patientsFunctional and Safety Outcomes of Carotid Artery Stenting and Mechanical Thrombectomy for Large Vessel Occlusion Ischemic Stroke With Tandem Lesions
Farooqui M, Zaidat O, Hassan A, Quispe-Orozco D, Petersen N, Divani A, Ribo M, Abraham M, Fifi J, Guerrero W, Malik A, Siegler J, Nguyen T, Sheth S, Yoo A, Linares G, Janjua N, Galecio-Castillo M, Tekle W, Ringheanu V, Oliver M, Dawod G, Kobsa J, Prasad A, Ikram A, Lin E, Below K, Zevallos C, Gadea M, Qureshi A, Dajles A, Matsoukas S, Rana A, Abdalkader M, Salazar-Marioni S, Soomro J, Gordon W, Vivanco-Suarez J, Turabova C, Mokin M, Yavagal D, Jumaa M, Ortega-Gutierrez S. Functional and Safety Outcomes of Carotid Artery Stenting and Mechanical Thrombectomy for Large Vessel Occlusion Ischemic Stroke With Tandem Lesions. JAMA Network Open 2023, 6: e230736. PMID: 36857054, PMCID: PMC9978940, DOI: 10.1001/jamanetworkopen.2023.0736.Peer-Reviewed Original ResearchConceptsSymptomatic intracranial hemorrhageCarotid artery stenting groupCarotid artery stentingLarge vessel occlusionNonstented groupDigital subtraction angiographyModified Rankin ScaleMechanical thrombectomyFunctional outcomesCross-sectional studyCervical lesionsSafety outcomesTandem lesionsMRS scoreSubtraction angiographyOdds of favorable functional outcomeIncreased risk of sICHArtery stentingAnterior circulation tandem lesionsDegree of cervical stenosisRisk of symptomatic intracranial hemorrhageOutcomes of carotid artery stentingCervical internal carotid arteryOdds of symptomatic intracranial hemorrhageInternal carotid artery stenosis