Stent or balloon: How to treat proximal internal carotid artery occlusion in the acute phase of ischemic stroke? Results of a short survey

被引：9

作者：

Widimsky, Petr ^{[1
,2
]}

Koznar, Boris ^{[1
,2
]}

Abelson, Mark ^{[3
,4
]}

Blasko, Peter ^{[9
]}

Lanzer, Peter ^{[5
]}

Mazighi, Mikael ^{[11
]}

Meuwissen, Martijn ^{[6
]}

Prochazka, Vaclav ^{[7
]}

Sievert, Horst ^{[10
]}

de Vries, Joost ^{[12
]}

Hopkins, L. Nelson ^{[8
]}

机构：

[1] Univ Hosp Kralovske Vinohrady, Prague, Czech Republic

[2] Charles Univ Prague, Prague, Czech Republic

[3] Univ Cape Town, Vergelegen Medi Clin, Cape Town, South Africa

[4] Univ Cape Town, Groote Schuur Hosp, Cape Town, South Africa

[5] Gesundheitszentrum Bitterfeld Wolfen, Bitterfeld, Germany

[6] Amphia Ziekenhuis, Breda, Netherlands

[7] Univ Hosp Ostrava, Ostrava, Czech Republic

[8] SUNY Buffalo, Buffalo, NY USA

[9] Cardioctr Nitra, Nitra, Slovakia

[10] Cardiol Ctr, Frankfurt, Germany

[11] Hop Lariboisiere, Paris, France

[12] Radboud Univ Nijmegen, Nijmegen, Netherlands

来源：

COR ET VASA | 2016年 / 58卷 / 02期

关键词：

Acute ischemic stroke; Mechanical thrombectomy; Endovascular intervention; Carotid stenting; Dual antiplatelet therapy;

D O I：

10.1016/j.crvasa.2016.02.006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This short survey presents authors views on three questions related to endovascular treatment of acute ischemic stroke patients with critical stenosis of proximal internal carotid artery either alone or combined with a more distal intracranial artery occlusion. Approximately 15% of patients with acute stroke undergoing interventional treatment present with this condition. The interventional strategy varies from balloon dilatation followed by mechanical thrombectomy to carotid stenting preceded or followed by mechanical thrombectomy. Antithrombotic treatment also varies from immediate dual antiplatelet therapy to therapy postponed after control CT excludes hemorrhage into the ischemic zone. (C) 2016 The Czech Society of Cardiology. Published by Elsevier Sp. z o.o. All rights reserved.

引用

页码：E204 / E206

页数：3

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