학술논문
Relevance of Carotid Reocclusion in Tandem Lesions
Document Type
Journal Article
Author
Alejandro González García; Ana Barragán-Prieto; Asier De Albóniga-Chindurza; Aynara Zamora; Blanca Pardo-Galiana; Elena Zapata-Arriaza; Francisco Moniche; Joan Montaner; Joaquin Ortega-Quintanilla; Juan Antonio Cabezas-Rodriguez; Leire Ainz-Gómez; Lucía Lebrato-Herández; Manuel Medina-Rodriguez; Soledad Pérez-Sánchez
Source
Journal of Atherosclerosis and Thrombosis. 2023, 30(6):636
Subject
Language
English
ISSN
1340-3478
1880-3873
1880-3873
Abstract
Results: Among 1304 AIS cases, 218 (16.7%) were related to TL or ICO. Of them, 5% (n=11) were associated with internal CRO 24 h after the endovascular procedure. After adjusting per confounders, multivariate analysis showed that the independent variables associated with CRO were the TICI recanalization grade [TICI 2b–3; OR 0.1, 95% confidence interval (CI) 0.01–0.89, p=0.040], pial collateral circulation presence (OR 0.09, 95% CI 0.02–0.45, p=0.03), stent deployment during MT (OR 0.17, 95% CI 0.03–0.84, p=0.030), and general anesthesia use (OR 2.92, 95% CI 1.13–7.90, p=0.034). CRO showed a trend toward worst outcomes (modified Rankin scale 3–6) at 3 months (OR 3.4, 95% CI 0.96–12, p=0.057). After multivariate analysis, variables independently associated with worse outcomes at 90 days were intrastent platelet aggregation phenomena during endovascular therapy, admission National Institute of Health Stroke Scale, and age. Conversely, intravenous thrombolysis and TICI 2b–3 recanalization grade were identified as independent predictors of good outcomes at 90 days.