Recent advance in endovascular treatment of tandem occlusion of the anterior circulation
10.3760/cma.j.cn115354-20240519-00305
- VernacularTitle:前循环串联闭塞的血管内治疗进展
- Author:
Mingsheng YU
1
;
Zengguang WANG
;
Lin MA
;
Long YIN
;
Ying HUANG
;
Guijing LIU
;
Hecheng REN
Author Information
1. 天津市环湖医院神经外科,天津 300350
- Keywords:
Stroke;
Tandem occlusion;
Endovascular treatment;
Thrombectomy;
Acute stenting
- From:
Chinese Journal of Neuromedicine
2024;23(7):748-753
- CountryChina
- Language:Chinese
-
Abstract:
Tandem occlusion of the anterior circulation is a specific acute large vessel occlusion, which is defined in most of the literature as a combination of intracranial large vessel occlusion and high degree of stenosis or occlusion of the ipsilateral extracranial internal carotid artery.Tandem occlusion is presented in approximately 15% patients with acute ischemic stroke in the anterior circulation who receive endovascular treatment. In patients with tandem occlusion, endovascular treatment is more effective than drug therapy; however, controversy still exists regarding the optimal management strategy of endovascular treatment. This article reviews the recent advance in endovascular treatment of tandem occlusion in the anterior circulation in recent years, to improve the overall care standard for acute ischemic stroke with tandem occlusion of the anterior circulation.