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May 3, 20260 citations

Emergent Carotid Angioplasty or Stenting for Tandem Occlusion Strokes

Emergent Carotid Angioplasty or Stenting for Internal Carotid-Middle Cerebral Artery Tandem Occlusion Strokes: Real-World Outcomes in a Nationwide Cohort.

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Authors

HCHuanwen ChenMMMatthew K McIntyreDLDhairya A. Lakhani

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Overview

Retrospective cohort study evaluates functional outcomes of EVT with BA vs CAS in tandem occlusion strokes, suggesting improved safety and efficacy.

Key Points

  • This research aims to assess the effectiveness and safety of emergent balloon angioplasty and carotid artery stenting combined with EVT in treating tandem occlusion strokes.
  • Retrospective cohort study utilizing the Nationwide Readmissions database (2016-2022).
  • Patients with ipsilateral ICA-MCA tandem occlusion treated with EVT were categorized into three groups: EVT alone, EVT + BA, and EVT + CAS.
  • Multivariable regression analyses adjusted for demographics, stroke severity, and comorbidities.
  • EVT + CAS was associated with improved functional outcomes at discharge.
  • In-hospital mortality was reduced for the EVT + CAS group.
  • No significant increase in the risk of intracranial hemorrhage was observed.

Cite This Study

Chen et al. (2026) studied this question.

synapsesocial.com/papers/69f6e6478071d4f1bdfc6efehttps://doi.org/10.3174/ajnr.a9169
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Carotid stenting and intracranial thrombectomy for treatment of acute stroke due to tandem occlusions with aggressive antiplatelet therapy may be associated with a high incidence of intracranial hemorrhage2014 · 177 citations
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  3. 3Post-Thrombectomy Subarachnoid Hemorrhage: Incidence, Predictors, Clinical Relevance, and Effect Modulators2024 · 19 citations
  4. 4The Dilator-Dotter Technique: A Modified Method of Rapid Internal Carotid Artery Revascularization in Acute Ischemic Stroke2020 · 9 citations
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