Diagnosis and management of tandem occlusion in acute ischemic stroke
Approximately 20–30% of patients with acute ischemic stroke, caused by large intracranial vessel occlusion, have a tandem lesion, defined as simultaneous presence of high-grade stenosis or occlusion of the cervical internal carotid artery and ...
F Giordano +2 more
exaly +6 more sources
Endovascular Therapy of Tandem Occlusions: Baseline Characteristics and Outcomes Compared With Intracranial Occlusion [PDF]
Background Endovascular therapy is highly effective in stroke caused by large vessel occlusion. Guidelines support treatment in case of occlusion of the intracranial internal carotid artery or the first segment of the middle cerebral artery.
Thabele M Leslie-Mazwi +2 more
exaly +7 more sources
Impact of Emergent Cervical Carotid Stenting in Tandem Occlusion Strokes Treated by Thrombectomy: A Review of the TITAN Collaboration [PDF]
Introduction: Endovascular therapy has been shown to be an effective and safe treatment for tandem occlusion. The endovascular therapeutic strategies for tandem occlusions strokes have not been adequately evaluated and the best approach is still ...
François Zhu +2 more
exaly +5 more sources
IV Thrombolysis-Bridging and Endovascular Treatment for Occlusive Internal Carotid Artery Dissection with Tandem Occlusion [PDF]
Compared to other etiologies of ischemic stroke, occlusive internal carotid artery dissection responds worse to intravenous (IV) thrombolysis. Intracranial tandem occlusion is a predictor of poor outcome.
Filip Scheperjans +7 more
doaj +4 more sources
Thrombolysis Improves Reperfusion and the Clinical Outcome in Tandem Occlusion Stroke Related to Cervical Dissection: TITAN and ETIS Pooled Analysis [PDF]
Background and Purpose Despite the widespread adoption of mechanical thrombectomy (MT) for the treatment of large vessel occlusion stroke (LVOS) in the anterior circulation, the optimal strategy for the treatment tandem occlusion related to cervical ...
Gaultier Marnat +17 more
doaj +4 more sources
Background Endovascular treatment (EVT) has been demonstrated to be effective for patients with tandem occlusion. The efficacy and safety of intravenous thrombolysis before EVT in patients with tandem occlusion remain debatable.
Yaowen Hu, Yanbo Li, Chuang Yang
exaly +4 more sources
Outcome and Treatment Effects in Stroke Associated with Acute Cervical ICA Occlusion. [PDF]
Endovascular therapy (EVT) with stent retrievers in addition to i.v. thrombolysis (IVT) has proven effective in acute stroke patients with middle cerebral artery (MCA, M1 segment) and distal internal carotid artery (ICA) occlusion.
Michael Gliem +5 more
doaj +2 more sources
Internal Carotid Artery Rupture during Mechanical Thrombectomy of Tandem Occlusion
Mechanical thrombectomy of tandem occlusion involving the internal carotid artery (ICA) is effective but complex. We discuss ICA rupture during thrombectomy of a tandem ICA occlusion.
Ariharan K. +2 more
doaj +2 more sources
Hemorrhagic Transformation After Thrombectomy for Tandem Occlusions. [PDF]
Background and Purpose- Carotid artery stenting in tandem large vessel occlusion strokes is usually avoided because of the intracranial hemorrhagic risks induced by antiplatelet therapy during thrombectomy interventions. This study aimed to evaluate the incidence of hemorrhagic transformation following thrombectomy in large vessel occlusion strokes ...
Zhu, François +17 more
core +6 more sources
Background The optimal treatment of acute large vessel occlusion with concomitant extracranial steno‐occlusive disease of the internal carotid artery remains unclear. The PICASSO (Proximal Internal Carotid Artery Acute Stroke Secondary to Tandem or Local
Sami Al Kasab +51 more
doaj +2 more sources

