Academic Journal
Balloon‐Expandable Stenting as a Bridging Therapy in Patients With Acute Stroke and Tandem Occlusions
| العنوان: | Balloon‐Expandable Stenting as a Bridging Therapy in Patients With Acute Stroke and Tandem Occlusions |
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| المؤلفون: | 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 |
| المصدر: | Stroke: Vascular and Interventional Neurology, Vol 3, Iss 5 (2023) |
| بيانات النشر: | Wiley, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Neurology. Diseases of the nervous system LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: | 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 |
| الوصف: | 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 |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2694-5746 |
| Relation: | https://doaj.org/toc/2694-5746 |
| DOI: | 10.1161/SVIN.122.000825 |
| URL الوصول: | https://doaj.org/article/2ab04708d5ec47aa8b7fc4d23968381c |
| رقم الانضمام: | edsdoj.2ab04708d5ec47aa8b7fc4d23968381c |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 26945746 |
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| DOI: | 10.1161/SVIN.122.000825 |