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May 8, 2026European Stroke JournalOpen Access

Abstract Number: Esoc2026a2187 Endovascular Therapy vs Medical Therapy for Acute Stroke Due to Isolated Occlusion of the Cervical Internal Carotid Artery Without Occlusion of Large Intracranial Vessels

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Authors

PGPatricia González-FeitoJGJavier Tejada GarciaIRIria Beltrán Rodríguez

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Overview

Prospective study evaluates reperfusion therapies for acute stroke in patients with ICA occlusion, suggesting medical therapy offers better outcomes.

Key Points

  • Evaluate the efficacy of reperfusion therapies in patients with acute stroke due to cervical internal carotid artery occlusion.
  • Prospective study from NORDICTUS registry in Spain (11 centers) with a treatment period of 30/11/2017 to 16/01/2023.
  • Patients classified into endovascular thrombectomy (EVT) or intravenous fibrinolysis (IVT) based on stroke severity (NIHss ≥6).
  • Included 64 patients with median age of 73 years.
  • Patients receiving EVT showed significantly higher NIHss admission scores compared to IVT [18 (12-19) vs. 6.5 (4.25-12), p<0.001].
  • Symptomatic bleeding occurred in 6.3% and mortality in 20.3% of EVT patients.
  • IVT group had better outcomes (mR ≤2) with 62.5% versus 37.5% for EVT (p=0.093), suggesting medical therapy may be advantageous.

Cite This Study

González-Feito et al. (2026) studied this question.

synapsesocial.com/papers/69fd7e42bfa21ec5bbf066b6https://doi.org/10.1093/esj/aakag023.1010
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