ArticleClinical neuroradiology2020
The ReWiSed CARe Technique : Simultaneous Treatment of Atherosclerotic Tandem Occlusions in Acute Ischemic Stroke.
Article in Clinical neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 18 citations in OpenAlex.
- Simultaneous treatment of symptomatic cervical and tandem intracranial carotid lesions using transcarotid artery revascularization.Journal of vascular surgery cases and innovative techniques · 2026Article
- PICASSO (Proximal Internal Carotid Artery Acute Stroke Secondary to Tandem Lesion or Local Occlusion) Thrombectomy Randomized Trial: Study Protocol and Rationale.Stroke (Hoboken, N.J.) · 2025Article
- The T-Top Technique for Tandem Lesions: A Single-Center Retrospective Study.Journal of clinical medicine · 2025Article
- Stent Retriever as Distal Filter for Endovascular Management of Acute Atherosclerosis-Related Carotid Occlusions: Preliminary Findings with a Novel Technique.Journal of clinical medicine · 2025Article
- Efficacy and Safety Outcomes for Acute Ischemic Stroke Patients Treated with Intravenous Infusion of Tirofiban After Emergent Carotid Artery Stenting.Clinical neuroradiology · 2024Article
- [Border areas of thrombectomy].Der Nervenarzt · 2021Review
- Expanding indications for endovascular thrombectomy-how to leave no patient behind.Therapeutic advances in neurological disorders · 2021Review
- Tandem Carotid Lesions in Acute Ischemic Stroke: Mechanisms, Therapeutic Challenges, and Future Directions.AJNR. American journal of neuroradiology · 2020Review
- Evolution of Stroke Thrombectomy Techniques to Optimize First-Pass Complete Reperfusion.Seminars in interventional radiology · 2020Review
- Simultaneous revascularization of the occluded internal carotid artery using the Solitaire as a workhorse wire during acute ischemic stroke intervention.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020Article
- Utility of Coaxial Angioplasty-thrombectomy for Acute Tandem Occlusion of Intracranial and Extracranial Arteries.Journal of neuroendovascular therapy · 2020Article
- Vascular tortuosity in endovascular mechanical thrombectomy.Brain circulationReview
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEndovascular treatment of acute cerebral large vessel occlusions and concomitant atherosclerotic lesions of the ipsilateral internal carotid artery (ICA) are a matter of debate. This article reports a multi-center experience using the retriever wire supported carotid artery revascularization (ReWiSed CARe) technique allowing simultaneous treatment of both lesions.
methodsThe study retrospectively analyzed 23 patients with acute tandem occlusions (TO) who underwent ReWiSed CARe at 3 German centers. Clinical, including demographics and National Institutes of Health Stroke Scale (NIHSS) and procedural, including angiographic evaluation of recanalization, data were evaluated. Favorable clinical outcome was defined as modified Rankin Scale (mRS) score ≤2 at 90 days.
resultsThe median age was 70 years (interquartile range [IQR] 65-80 years) and 70% were male. The median baseline NIHSS was 15 (IQR 11-17). Out of 23 patients, 22 (96%) had an intracranial occlusion of the anterior circulation. Successful stent retriever deployment with subsequent carotid artery treatment was feasible in all cases without displacement of the stent retriever during the procedure. Overall, successful reperfusion (modified Thrombolysis in Cerebral Infarction [mTICI] ≥2b) was achieved in 22/23 (96%) patients with 10/23 (44%) individuals completely reperfused (mTICI 3). The median groin puncture to stent retriever deployment was 29 min (IQR 23-46) and groin puncture to final revascularization was 63 min (IQR 56-78). The median NIHSS at discharge was 5 (IQR 3-12) with favorable clinical outcome at 90 days in 11 out of 20 patients (55%).
conclusionEndovascular treatment using ReWiSed CARe is safe, fast and efficient in TO patients with underlying atherosclerotic lesion of the extracranial ICA.
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