Balloon‐Expandable Stenting as a Bridging Therapy in Patients With Acute Stroke and Tandem Occlusions

Bibliographic Details
Title: Balloon‐Expandable Stenting as a Bridging Therapy in Patients With Acute Stroke and Tandem Occlusions
Authors: Noelia Rodríguez‐Villatoro, David Rodríguez‐Luna, Marian Muchada, Olalla Pancorbo, Matías Deck, Prudencio Lozano, Sandra Boned, Álvaro García‐Tornel, Marta Olivé, Jesús Juega, Jorge Pagola, Marta Rubiera, David Hernández, Carlos Molina, Carlos Piñana, Isabel Rodriguez, Marta De Dios, Jose Luis Cuevas, Manuel Requena, Laura Ludovica Gramegna, Marc Ribó, Alejandro Tomasello
Source: Stroke: Vascular and Interventional Neurology, Vol 3, Iss 5 (2023)
Publisher Information: Wiley, 2023.
Publication Year: 2023
Collection: LCC:Neurology. Diseases of the nervous system
LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: antiplatelet therapy, endovascular thrombectomy, internal carotid artery, stent, stroke, Neurology. Diseases of the nervous system, RC346-429, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Background Stenting extracranial internal carotid artery (ICA) lesions in acute ischemic stroke with tandem lesions is technically challenging. Its safety is highly debated because of the requirement of dual‐antiplatelet therapy. The optimal stenting device, timing, and periprocedural antiplatelet therapy for extracranial ICA stenting in the setting of acute tandem occlusion are still unclear. Methods We performed a retrospective study of patients with acute ischemic stroke attributable to tandem lesions who underwent endovascular treatment during a 5‐year period receiving either conventional self‐expanding carotid stents (SX) or balloon‐expandable carotid stent (BX). BX stents were restented with an SX in the subacute phase. Primary outcomes of interest were extracranial ICA patency at follow‐up and symptomatic intracranial hemorrhage. Results A total of 112 patients admitted from April 2016 to April 2021 were included. Dual‐antiplatelet therapy immediately following endovascular treatment was more frequently administered in the SX group (35/39 [89.7%]) compared with the BX group (20/73 [27.4%]) (P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2694-5746
Relation: https://doaj.org/toc/2694-5746
DOI: 10.1161/SVIN.122.000825
Access URL: https://doaj.org/article/2ab04708d5ec47aa8b7fc4d23968381c
Accession Number: edsdoj.2ab04708d5ec47aa8b7fc4d23968381c
Database: Directory of Open Access Journals
More Details
ISSN:26945746
DOI:10.1161/SVIN.122.000825
Published in:Stroke: Vascular and Interventional Neurology
Language:English