Retriever wire supported carotid artery revascularization (ReWiSed CARe) in acute ischemic stroke with underlying tandem occlusion caused by an internal carotid artery dissection: Technical note.
We hereby report a novel technical approach for the treatment of acute stroke with underlying tandem occlusion. The so-called retriever wire supported carotid artery revascularization (ReWiSed CARe) technique, utilizing the wire of a stent-retriever as a guiding wire for carotid artery stenting, is technically feasible in tandem occlusions caused by an internal carotid artery (ICA) dissection or high grade ICA stenosis. This technique eliminates the need to use a long microwire in order to maintain the position inside the true lumen of a dissection. Additionally, it leads to anterograde perfusion through the released stent-retriever during the time of ICA stenting, which is favorable in all tandem occlusion cases.
Department of Diagnostic and Interventional Neuroradiology, University Medical Center Göttingen, Germany.
Daniel
D
Behme
Department of Diagnostic and Interventional Neuroradiology, University Medical Center Göttingen, Germany.
Michael
M
Knauth
Department of Diagnostic and Interventional Neuroradiology, University Medical Center Göttingen, Germany.
Marios-Nikos
MN
Psychogios
D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D020215:Carotid Artery, Internal, Dissection / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D002533:Cerebral Angiography; D002548:Cerebral Revascularization / Q000295:instrumentation / Q000379:methods*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed
Carotid artery dissection; carotid artery stenting; stroke