[PDF] Management of extracranial carotid artery stenosis during endovascular treatment for acute ischaemic stroke: results from the MR CLEAN Registry | Semantic Scholar (2024)

The rate of in-stent occlusions after emergent CAS was lower with the dual-layer CGuard when compared to the monolayer Carotid Wallstent (CWS) system.

The LVO classification system differentiating ECAS and ICAS in patients with large artery atherosclerosis and classifying cryptogenic embolism is more suitable for patients with EVT for intracranial LVO.

Cerebral oxygen monitoring could be considered for individualization of mechanical ventilation setting in ABI patients without high or instable intracranial pressure and to assess the correlation between brain oxygenation and mechanical ventilation settings.

Intra-arterial treatment may be at least as effective in patients with ECD as in those without ECD, and it should not be withheld in these complex patients with acute ischemic stroke.

M Mechanical thrombectomy prior to acute CAS in TO is a predictive factor for favorable clinical outcome at 90 days.

Tandem occlusions present treatment challenges, but high recanalization rates were possible in the present series using acute carotid artery stenting and mechanical thrombectomy concurrently.

Investigation of patients with tandem extracranial steno-occlusive carotid disease and intracranial occlusions who underwent emergent thrombectomy between 2011 and 2015 found that acute endovascular treatment of tandem anterior circulation occlusion yields good outcomes and has similar outcome predictors to isolated intrac Craniosynostosis.

Primary stenting of the extracranial carotid artery combined with intracranial mechanical thrombectomy can be an effective treatment for tandem occlusions, can be performed with a high rate of technical success, and can achieve good clinical outcomes in selected patients, however, the incidence of SICH may be higher than in other patient populations and may be associated with the use of abciximab and advanced patient age.

In routine clinical practice, endovascular treatment for patients with acute ischaemic stroke is at least as effective and safe as in the setting of a randomised controlled trial.

Acute stenting of an extracranial carotid stenosis during neurothrombectomy can be achieved with equal safety compared with no stenting, andCarotid stenting in the acute phase may lead to better outcomes.

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