Volume 20 Issue 7
Jul.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(7): 1143-1146
ZHANG Dong-huan, LIU Yi-feng, KANG Mei-juan, WANG Ning, SUN Jun, WEN Chang-ming. Analysis of safety and efficacy of emergent carotid artery stenting in patients with acute anterior circulation stroke with tandem lesion treated with mechanical thrombectomy[J]. Chinese Journal of General Practice, 2022, 20(7): 1143-1146. doi: 10.16766/j.cnki.issn.1674-4152.002543
Citation: ZHANG Dong-huan, LIU Yi-feng, KANG Mei-juan, WANG Ning, SUN Jun, WEN Chang-ming. Analysis of safety and efficacy of emergent carotid artery stenting in patients with acute anterior circulation stroke with tandem lesion treated with mechanical thrombectomy[J]. Chinese Journal of General Practice, 2022, 20(7): 1143-1146. doi: 10.16766/j.cnki.issn.1674-4152.002543
shu

Analysis of safety and efficacy of emergent carotid artery stenting in patients with acute anterior circulation stroke with tandem lesion treated with mechanical thrombectomy

doi: 10.16766/j.cnki.issn.1674-4152.002543

  • Department of Neurology, Nanyang City Central Hospital, Nanyang, Henan 473000, China

Funds:

 202102310079

 192102310349

  • Received Date: 2021-01-14
    Available Online: 2022-09-23
    Abstract
  •   Objective  To explore the treatment options of mechanical thrombectomy for extracranial carotid artery lesions in patients with acute anterior circulation tandem occlusion stroke, and to evaluate its efficacy and safety.  Methods  From January 2018 to December 2019, 18 patients with acute tandem occlusion of the extracranial internal carotid artery and intracranial large artery were admitted to Department of Neurology, Nanyang City Central Hospital and treated by endovascular treatment. There were 9 males and 9 females, aged 60 to 70 years old. According to different treatment methods, 18 patients were divided into emergency stent group (11 cases) and emergency non-stent group (7 cases). The immediate intraoperative recanalization of blood vessels during the operation was judged according to the classification of cerebral infarction thrombolysis (mTICI), and the 90-day modified Rankin Scale (mRS) score of 0-2 was defined as a good clinical prognosis.  Results  There was no statistically significant difference in clinical baseline data such as age, gender distribution, preoperative National Institutes of Health Stroke Scale (NIHSS) score, preoperative Alberta stroke project early CT (ASPECT) score, etiology classification, treatment method, lesion type, blood vessel occlusion site in two groups (all P > 0.05). The rates of successful recanalization of blood vessels (mTICI class 2b-3) of the emergency stent group and emergency non-stent group was 72.7% and 71.4%, respectively; however, there was no statistically significant difference (P > 0.05). The rates of symptomatic intracranial hemorrhage were 9.1% and 0, respectively. Also, there was no statistically significant difference (P > 0.05). There was no statistically significant difference in the modified mRS score and 90-day mortality between the two groups of patients after 90 days (all P > 0.05). The difference in the residual stenosis rate between the two groups was statistically significant (P < 0.05).  Conclusion  In the endovascular treatment of acute anterior circulation tandem occlusion, emergency extracranial carotid artery stenting may be effective and safe.

     

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