The efficacy of various interventions to the extracranial stenosis on reperfusion in anterior tandem lesions receiving mechanical thrombectomy
10.16352/j.issn.1001-6325.2024.10.1388
- VernacularTitle:颅外动脉狭窄不同干预方案联合机械取栓治疗前循环串联病变的再灌注效果
- Author:
Xueyan FENG
1
;
Yunyun XIONG
;
Liyuan WANG
;
Zhixin CAO
;
Manjun HAO
;
Lixia ZONG
;
Shang WANG
Author Information
1. 首都医科大学附属北京天坛医院 神经病学中心,北京 100070
- Keywords:
acute ischemic stroke;
tandem lesions;
stenting;
balloon angioplasty;
reperfusion
- From:
Basic & Clinical Medicine
2024;44(10):1388-1393
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of different interventions to the extra cranial lesions in acute ischemic stroke(AIS)due to anterior tandem lesions(TL)on reperfusion.Methods As a multi-center,cross-sectional study,AIS due to anterior TL receiving mechanical thrombectomy(MT)were retrospectively collected.Interventions to the extra-cranial stenosis were recorded.Post-procedural reperfusion was assessed using the modified thrombolysis in cerebral infarction(mTICI)score.Complete revascularization was defined as mTICI 3 and good revascularization was defined as mTICI 2b/3.The relationship between different extra-cranial intervention regi-mens and rate of re-vascularization was compared.Results Totally 117 patients were included with 92.3% reaching good recanalization and 63.2% reaching complete re-canalization.There was no significant difference in good re-canalization rates among various extra-cranial intervention regimens.The rate of complete re-canalization was significantly higher in patients receiving endovascular therapy(P＜0.05)and there was significant difference among various endovascular treatment regimens(P＜0.01):acute balloon angioplasty only group presented the highest rate of complete re-canalization(100.0% ),followed by acute stenting only group(80% ),acute stenting+balloon angioplasty group(73.7% )and conservative treatment group(54.3% ).Conclusions Endovascular inter-vention to extra-cranial stenosis contributes to complete re-canalization in AIS due to anterior TL receiving MT,and acute balloon angioplasty seems to be quite effective than acute stenting.
