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Relevance of Carotid Reocclusion in Tandem Lesions by Elena Zapata-Arriaza; Manuel Medina-Rodriguez; Joaquin Ortega-Quintanilla; Asier De Albóniga-Chindurza; Leire Ainz-Gómez; Blanca Pardo-Galiana; Juan Antonio Cabezas-Rodriguez; Lucía Lebrato-Herández; Ana Barragán-Prieto; Soledad Pérez-Sánchez; Aynara Zamora; Joan Montaner; Alejandro González García; Francisco Moniche is a Medicine article available to read on EtoBox.
What is Relevance of Carotid Reocclusion in Tandem Lesions about?
**Aims:** Carotid reocclusion (CRO) after mechanical thrombectomy (MT) in acute ischemic stroke (AIS) due to tandem lesion (TL) or isolated internal carotid occlusion (ICO) is associated with worse clinical outcomes. Our aim was to analyze the predictors and clinical impact of CRO. **Methods:** A retrospective single-center analysis of all patients with anterior circulation strokes who underwent MT prospectively included in a registry between 2017 and 2020 was performed. ICO and TL as stroke causes were included. Stent deployment was left to the discretion of the interventionist. All patients received at least intravenous aspirin during MT. CRO was assessed using ultrasound within the first 24 h after MT. Efficacy and safety of stenting were assessed. **Results:** Among 1304 AIS cases, 218 (16.7%) were related to TL or ICO. Of them, 5% (__n__=11) were associated with internal CRO 24 h after the endovascular procedure. After adjusting per confounders, multivariate analysis showed that the independent variables associated with CRO were the TICI recanalization grade [TICI 2b–3; OR 0.1, 95% confidence interval (CI) 0.01–0.89,__p__=0.040], pial collateral circulation presence (OR 0.09,
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- Author
- Elena Zapata-Arriaza; Manuel Medina-Rodriguez; Joaquin Ortega-Quintanilla; Asier De Albóniga-Chindurza; Leire Ainz-Gómez; Blanca Pardo-Galiana; Juan Antonio Cabezas-Rodriguez; Lucía Lebrato-Herández; Ana Barragán-Prieto; Soledad Pérez-Sánchez; Aynara Zamora; Joan Montaner; Alejandro González García; Francisco Moniche
- Publisher
- Japan Atherosclerosis Society
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)