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  • Title: Endovascular treatment of acute tandem occlusion strokes and stenting first experience.
    Author: Akpınar S, Gelener P.
    Journal: J Clin Neurosci; 2018 Jan; 47():328-331. PubMed ID: 29032862.
    Abstract:
    This study demonstrates the radiologic and clinical findings, etiologies and intervention strategy in 8 acute ischemic stroke patients with tandem occlusions. The mean age was 57 and mean NIHSS score was 19. Stent-assisted thrombectomy (SAT) was performed on all of the patients. Additionally, 6 patients underwent carotid artery stenting before SAT. Recanalization with TICI≥2b was attained in 7/8 patients. The 90thday median mRS was 2 and mortality was 1/8. The etiologies of the tandem occlusions were either extracranial high grade ICA stenosis/occlusion or cervical ICA dissection. When the stent-first approach was applied with distal thrombectomy, high TICI and low mRS scores were obtained.
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