title: Carotid artery stenting in the context of endovascular treatment of acute ischemic stroke.
abstract: Mechanical thrombectomy as an adjunctive to intravenous thrombolysis is now the standard treatment for acute ischemic stroke (AIS) due to large vessel occlusions. However, the best management of acute carotid tandem occlusions (CTO) remains controversial.
  
  
  METHODS
  Twenty patients underwent endovascular treatment of acute CTO. The primary endpoint was the composite rate of complete or partial recanalization without a symptomatic intracranial hemorrhage (sICH). Secondary endpoints were recanalization times, procedure times, and clinical outcomes at three months.
  
  
  RESULTS
  The primary endpoint was reached in 17 (85%) patients. Recanalization rate was reached in 90% of patients (19/20) and sICH rate was 5% (1/20). At the 3-month follow-up we obtained a mRS ≤ 2 rate of 35% (7/20) and a mortality rate of 20% (4/20).
  
  
  CONCLUSIONS
  Carotid angioplasty stenting and endovascular treatment of AIS due to CTO appears effective with an acceptable rate of sICH.
authors.affiliation: Divisão de Neurorradiologia Intervencionista, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: Adson F de
authors.initials: AF
authors.lastname: Lucena
authors.affiliation: Divisão de Neurorradiologia Intervencionista, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: Luís Henrique de
authors.initials: LH
authors.lastname: Castro-Afonso
authors.affiliation: Divisão de Neurorradiologia Intervencionista, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: Lucas M
authors.initials: LM
authors.lastname: Monsignore
authors.affiliation: Divisão de Neurorradiologia Intervencionista, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: Guilherme S
authors.initials: GS
authors.lastname: Nakiri
authors.affiliation: Divisão de Neurologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: Soraia R C
authors.initials: SR
authors.lastname: Fábio
authors.affiliation: Divisão de Neurologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: Octávio
authors.initials: O
authors.lastname: Pontes Neto
authors.affiliation: Divisão de Neurorradiologia Intervencionista, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirao Preto, SP, Brazil.
authors.forename: Daniel Giansante
authors.initials: DG
authors.lastname: Abud
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D020521:Stroke / Q000628:therapy*; D016896:Treatment Outcome