학술논문
Carotid artery stenting during endovascular thrombectomy for acute ischemic stroke with tandem occlusion: the Italian Registry of Endovascular Treatment in Acute Stroke.
Document Type
Academic Journal
Author
Sallustio F; Stroke Unit, Department of Systems Medicine, University of Tor Vergata, Viale Oxford 81, 00133, Rome, Italy. fsall75@gmail.com.; Department of Clinical and Behavioural Neurology, Santa Lucia Foundation IRCCS, Rome, Italy. fsall75@gmail.com.; Pracucci G; Stroke Unit, Ospedale Careggi-University Hospital, Florence, Italy.; Cappellari M; Stroke Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.; Saia V; Neurology and Stroke Unit, Santa Corona Hospital, Pietra Ligure, Italy.; Mascolo AP; Stroke Unit, Department of Systems Medicine, University of Tor Vergata, Viale Oxford 81, 00133, Rome, Italy.; Marrama F; Stroke Unit, Department of Systems Medicine, University of Tor Vergata, Viale Oxford 81, 00133, Rome, Italy.; Gandini R; Interventional Radiology Unit, Department of Biomedicine and Prevention, University of Tor Vergata, Rome, Italy.; Koch G; Stroke Unit, Department of Systems Medicine, University of Tor Vergata, Viale Oxford 81, 00133, Rome, Italy.; Department of Clinical and Behavioural Neurology, Santa Lucia Foundation IRCCS, Rome, Italy.; Diomedi M; Stroke Unit, Department of Systems Medicine, University of Tor Vergata, Viale Oxford 81, 00133, Rome, Italy.; D'Agostino F; Stroke Unit, Department of Systems Medicine, University of Tor Vergata, Viale Oxford 81, 00133, Rome, Italy.; Rocco A; Stroke Unit, Department of Systems Medicine, University of Tor Vergata, Viale Oxford 81, 00133, Rome, Italy.; Da Ros V; Interventional Radiology Unit, Department of Biomedicine and Prevention, University of Tor Vergata, Rome, Italy.; Wlderk A; Interventional Radiology Unit, Department of Biomedicine and Prevention, University of Tor Vergata, Rome, Italy.; Nezzo M; Interventional Radiology Unit, Department of Biomedicine and Prevention, University of Tor Vergata, Rome, Italy.; Argirò R; Interventional Radiology Unit, Department of Biomedicine and Prevention, University of Tor Vergata, Rome, Italy.; Morosetti D; Interventional Radiology Unit, Department of Biomedicine and Prevention, University of Tor Vergata, Rome, Italy.; Renieri L; Interventional Neuroradiology Unit, Ospedale Careggi-University Hospital, Florence, Italy.; Nencini P; Stroke Unit, Ospedale Careggi-University Hospital, Florence, Italy.; Vallone S; Neuroradiology Unit, Ospedale Civile S. Agostino-Estense University Hospital, Modena, Italy.; Zini A; Department of Neurology and Stroke Center, Maggiore Hospital, Bologna, Italy.; Bigliardi G; Neurology Unit, Ospedale Civile S. Agostino-Estense University Hospital, Modena, Italy.; Pitrone A; Neuroradiology Unit, Azienda Ospedaliera Universitaria Policlinico Messina, Messina, Italy.; Grillo F; Stroke Unit, Azienda Ospedaliera Universitaria Policlinico Messina, Messina, Italy.; Bracco S; Interventional Neuroradiology Unit, Ospedale S. Maria Delle Scotte-University Hospital, Siena, Italy.; Tassi R; Stroke Unit, Ospedale S. Maria Delle Scotte-University Hospital, Siena, Italy.; Bergui M; Interventional Neuroradiology Unit, Città della Salute e della Scienza-Molinette, Turin, Italy.; Naldi A; Stroke Unit, Città della Salute e della Scienza-Molinette, Turin, Italy.; Carità G; Interventional Neuroradiology Unit, Arcispedale S. Anna-University Hospital, Ferrara, Italy.; Casetta I; Neurology Division, Arcispedale S. Anna-University Hospital, Ferrara, Italy.; Gasparotti R; Neuroradiology Unit, Spedali Civili, Brescia, Italy.; Magoni M; Stroke Unit, Spedali Civili, Brescia, Italy.; Simonetti L; Neuroradiology Unit, IRCCS Istituto Delle Scienze Neurologiche, Bellaria Hospital, Bologna, Italy.; Haznedari N; Interventional Neuroradiology Unit, AUSL Romagna Cesena, Cesena, Italy.; Paolucci M; Neurology and Stroke Unit, AUSL Romagna Cesena, Cesena, Italy.; Mavilio N; Interventional Neuroradiology Unit, IRCCS San Martino-IST, Genoa, Italy.; Malfatto L; Stroke Unit, IRCCS San Martino-IST, Genoa, Italy.; Menozzi R; Interventional Neuroradiology Unit, Ospedale Universitario, Parma, Italy.; Genovese A; Programma Stroke Care, Ospedale Universitario, Parma, Italy.; Cosottini M; Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.; Orlandi G; Department of Clinical and Experimental Medicine, Neurological Institute, University of Pisa, Pisa, Italy.; Comai A; Radiology Unit, Ospedale Centrale, Bolzano, Italy.; Franchini E; Stroke Unit, Ospedale Centrale, Bolzano, Italy.; Pedicelli A; Interventional Radiology Unit, Fondazione Policlinico Gemelli, Rome, Italy.; Frisullo G; Stroke Unit, Fondazione Policlinico Gemelli, Rome, Italy.; Puglielli E; Interventional Radiology Unit, Ospedale Civile Mazzini, Teramo, Italy.; Casalena A; Neurology Unit, Ospedale Civile Mazzini, Teramo, Italy.; Cester G; Neuroradiology Unit, Azienda Ospedaliero-Universitaria, Padua, Italy.; Baracchini C; Stroke Unit, Azienda Ospedaliero-Universitaria, Padua, Italy.; Castellano D; Interventional Neuroradiology Unit, Ospedale San Giovanni Bosco, Turin, Italy.; Di Liberto A; Neurology Unit, Ospedale San Giovanni Bosco, Turin, Italy.; Ricciardi GK; Neuroradiology Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.; Chiumarulo L; Interventional Neuroradiology Unit, AOU Consorziale Policlinico, Bari, Italy.; Petruzzellis M; Neurology and Stroke Unit, AOU Consorziale Policlinico, Bari, Italy.; Lafe E; Diagnostic Radiology and Interventional Neuroradiology, IRCCS Policlinico San Matteo, Pavia, Italy.; Persico A; Cerebrovascular Disease and Stroke Unit, IRCCS Fondazione Mondino, Pavia, Italy.; Cavasin N; Neuroradiology Unit, Ospedale dell'Angelo, USSL3 Serenissima, Mestre, Italy.; Critelli A; Neurology Unit, Ospedale dell'Angelo, USSL3 Serenissima, Mestre, Italy.; Semeraro V; Neuroradiology Unit, Osp. 'SS. Annunziata'-ASL TA, Taranto, Italy.; Tinelli A; Neurology Unit, Osp. 'SS. Annunziata'-ASL TA, Taranto, Italy.; Giorgianni A; Neuroradiology Department, Ospedale di Circolo di Varese, ASST-Sette Laghi, Varese, Italy.; Carimati F; Neurology and Stroke Unit, Ospedale di Circolo di Varese, ASST-Sette Laghi, Varese, Italy.; Auteri W; Neuroradiology Unit, Azienda Ospedaliera Cosenza, Cosenza, Italy.; Rizzuto S; Stroke Unit, Azienda Ospedaliera Cosenza, Cosenza, Italy.; Biraschi F; Interventional Neuroradiology Unit, University of Rome La Sapienza, Rome, Italy.; Nicolini E; Stroke Unit, University of Rome La Sapienza, Rome, Italy.; Ferrari A; Interventional Neuroradiology, Azienda Ospedaliera Brotzu, Cagliari, Italy.; Melis M; Neuroscience Department, Azienda Ospedaliera Brotzu, Cagliari, Italy.; Calia S; Neuroradiology Unit, Santa Corona Hospital, Pietra Ligure, Italy.; Tassinari T; Neurology and Stroke Unit, Santa Corona Hospital, Pietra Ligure, Italy.; Nuzzi NP; Neuroradiology Unit, IRCCS Humanitas Rozzano, Rozzano, Milano, Italy.; Corato M; Stroke Unit, IRCCS Humanitas Rozzano, Rozzano, Milano, Italy.; Sacco S; Department of Clinical Sciences and Biotechnology, Avezzano, L'Aquila, Italy.; Squassina G; Neuroradiology Unit, Fondazione Poliambulanza, Brescia, Italy.; Invernizzi P; Stroke Unit, Fondazione Poliambulanza, Brescia, Italy.; Gallesio I; Neuroradiology Unit, Azienda Ospedaliera 'SS Antonio e Biagio e C. Arrigo', Alessandria, Italy.; Ruiz L; Neurology Department, Azienda Ospedaliera 'SS Antonio e Biagio e C. Arrigo', Alessandria, Italy.; Dui G; Interventional Radiology, Ospedale San Francesco, Nuoro, Italy.; Carboni N; Neurology and Stroke Unit, Ospedale San Francesco, Nuoro, Italy.; Amistà P; Neuroradiology Unit, Ospedale S. Maria Misericordia, Rovigo, Italy.; Russo M; Stroke Unit, Ospedale S. Maria Misericordia, Rovigo, Italy.; Maiore M; Neuroradiology Unit, Azienda Ospedaliera Universitaria SS Annunziata, Sassari, Italy.; Zanda B; Stroke Unit, Azienda Ospedaliera Universitaria SS Annunziata, Sassari, Italy.; Craparo G; Interventional Radiology, Ospedale Civico e Benfratelli, Palermo, Italy.; Mannino M; Neurology Unit, Ospedale Civico e Benfratelli, Palermo, Italy.; Inzitari D; Stroke Unit, Ospedale Careggi-University Hospital, Florence, Italy.; Toni D; Stroke Unit, University of Rome La Sapienza, Rome, Italy.; Mangiafico S; Interventional Neuroradiology Unit, Ospedale Careggi-University Hospital, Florence, Italy.
Source
Publisher: Springer Country of Publication: Italy NLM ID: 0247035 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2240-2993 (Electronic) Linking ISSN: 03009009 NLM ISO Abbreviation: Acta Neurol Belg Subsets: MEDLINE
Subject
Language
English
Abstract
Purpose: The management of tandem extracranial internal carotid artery and intracranial large vessel occlusion during endovascular thrombectomy (EVT) for acute ischemic stroke (AIS) has been under-investigated. We sought to investigate outcomes of AIS patients with tandem occlusion (TO) treated with carotid artery stenting (CAS) compared to those not treated with CAS (no-CAS) during EVT.
Methods: We performed a cohort study using data from AIS patients enrolled in the Italian Registry of Endovascular Treatment in Acute Stroke. Outcomes were 3 months' mortality, functional outcome, complete and successful recanalization, any intracranial hemorrhage, parenchymal hematoma and symptomatic intracerebral hemorrhage.
Results: Among 466 AIS patients with TO, CAS patients were 122 and no-CAS patients were 226 (118 excluded). After adjustment for unbalanced variables, CAS was associated with a lower rate of 3 months' mortality (OR 0.407, 95% CI 0.171-0.969, p = 0.042). After adjustment for pre-defined variables, CAS was associated with a lower rate of 3 months' mortality (aOR 0.430, 95% CI 0.187-0.989, p = 0.047) and a higher rate of complete recanalization (aOR 1.986, 95% CI 1.121-3.518, p = 0.019), successful recanalization (aOR 2.433, 95% CI 1.263-4.686, p = 0.008) and parenchymal hematoma (aOR 2.876, 95% CI 1.173-7.050, p = 0.021). CAS was associated with lower 3 months mortality (OR 0.373, 95% CI 0.141-0.982, p = 0.046) and higher rates of successful recanalization (OR 2.082, 95% CI 1.099-3.942, p = 0.024) after adjustment for variables associated with 3 months' mortality and successful recanalization, respectively.
Conclusions: Among AIS patients with TO, CAS during EVT was associated with a higher rate of successful reperfusion and a lower rate of 3 months' mortality.
(© 2022. The Author(s) under exclusive licence to Belgian Neurological Society.)
Methods: We performed a cohort study using data from AIS patients enrolled in the Italian Registry of Endovascular Treatment in Acute Stroke. Outcomes were 3 months' mortality, functional outcome, complete and successful recanalization, any intracranial hemorrhage, parenchymal hematoma and symptomatic intracerebral hemorrhage.
Results: Among 466 AIS patients with TO, CAS patients were 122 and no-CAS patients were 226 (118 excluded). After adjustment for unbalanced variables, CAS was associated with a lower rate of 3 months' mortality (OR 0.407, 95% CI 0.171-0.969, p = 0.042). After adjustment for pre-defined variables, CAS was associated with a lower rate of 3 months' mortality (aOR 0.430, 95% CI 0.187-0.989, p = 0.047) and a higher rate of complete recanalization (aOR 1.986, 95% CI 1.121-3.518, p = 0.019), successful recanalization (aOR 2.433, 95% CI 1.263-4.686, p = 0.008) and parenchymal hematoma (aOR 2.876, 95% CI 1.173-7.050, p = 0.021). CAS was associated with lower 3 months mortality (OR 0.373, 95% CI 0.141-0.982, p = 0.046) and higher rates of successful recanalization (OR 2.082, 95% CI 1.099-3.942, p = 0.024) after adjustment for variables associated with 3 months' mortality and successful recanalization, respectively.
Conclusions: Among AIS patients with TO, CAS during EVT was associated with a higher rate of successful reperfusion and a lower rate of 3 months' mortality.
(© 2022. The Author(s) under exclusive licence to Belgian Neurological Society.)