Balloon‐Expandable Stenting as a Bridging Therapy in Patients With Acute Stroke and Tandem Occlusions
نویسندگان
چکیده
BACKGROUND Stenting extracranial internal carotid artery (ICA) lesions in acute ischemic stroke with tandem is technically challenging. Its safety highly debated because of the requirement dual‐antiplatelet therapy. The optimal stenting device, timing, and periprocedural antiplatelet therapy for ICA setting occlusion are still unclear. METHODS We performed a retrospective study patients attributable to who underwent endovascular treatment during 5‐year period receiving either conventional self‐expanding stents (SX) or balloon‐expandable stent (BX). BX were restented an SX subacute phase. Primary outcomes interest patency at follow‐up symptomatic intracranial hemorrhage. RESULTS A total 112 admitted from April 2016 2021 included. Dual‐antiplatelet immediately following was more frequently administered group (35/39 [89.7%]) compared (20/73 [27.4%]) ( P <0.001). Patients (3/73 [4.1%]) developed lower rate hemorrhage (7/39 [17.9%]) =0.031). No differences high‐grade restenosis reocclusion found between groups 24 hours after procedure (BX: 20/73 [27.4%]; SX: 9/39 [23.1%]; =0.673). CONCLUSIONS In occlusions, bridging including less‐aggressive subsequent definitive treat resulted hemorrhagic transformation no patency.
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ژورنال
عنوان ژورنال: Stroke: vascular and interventional neurology
سال: 2023
ISSN: ['2694-5746']
DOI: https://doi.org/10.1161/svin.122.000825