Endovascular intervention for acute cervical carotid artery occlusion

Abstract

This study demonstrated the feasibility of endovascular intervention for acute cervical carotid artery occlusion. Although treatment for tandem occlusion and AF cases is an issue that should be resolved, intervention must be encouraged. Successful cervical and intracranial revascularization will be essential for favorable outcomes.

Emergency Cervical Internal Carotid Artery Stenting in Combination with Intracranial Thrombectomy in Acute Stroke

“…In agreement with the current literature, [15][16][17][18] emergency ICA stent implantation was technically successful in all our patients. Not surprising, ICA stent implantation leads to a prolonged procedure time until recanalization.…”

“…Papanagiotou et al 15 described their experiences with emergency carotid stent placement and intracranial thrombectomy procedures in 22 patients, but these authors in addition to stent-retriever devices (Solitaire stent) used other devices (Penumbra system) for the intracranial procedure. Most recently, Matsubara et al 16 published a report on 16 patients with acute cervical carotid occlusions caused by atherosclerosis, atrial fibrillation, or dissection. Ten of their patients had additional intracranial tandem occlusions.…”

“…The antithrombotic treatment concept differs in the literature. In the study of Matsubara et al, 16 patients received a loading dose of aspirin and another antiplatelet drug, depending on the clinical conditions, if the postprocedural imaging showed no hemorrhage. The hemorrhage rate (6.3%) was low.…”

“…On admission, the median initial NIHSS score was 18 (interquartile range, [15][16][17][18][19][20][21][22]. Two patients (initial NIHSS scores of 4 and 5) were referred for interventional therapy only after fluctuation of symptoms and clinical deterioration.…”

Endovascular Management of Tandem Occlusion Stroke Related to Internal Carotid Artery Dissection Using a Distal to Proximal Approach: Insight from the RECOST Study

“…The particular, but not rare, tandem occlusion stroke subtype is still poorly explored. Despite promising results reported in the literature, [13][14][15][16][17][18][19][20][21][22] most of the larger trials available on thrombectomy previously cited [23][24][25] excluded ICD.…”