ĐẶT STENT ĐỘNG MẠCH CẢNH TRONG ĐIỀU TRỊ TẮC ĐA TẦNG TUẦN HOÀN NÃO TRƯỚC

Abstract

Backgrounds and purpose: Tandem occlusion is a major challenge for endovascular thrombectomy. This study evaluated the results of carotid stenting in endovascular treatment for tandem occlusion. Patients and methods: A retrospective study included 63 tandem occlusion patients who received endovascular treatment and divided into two groups base on the different treatment approaches for the cervical ICA lesion: Group 1 – medical treatment and Group 2 – carotid stenting. Results: Angiography time in Group 2 was 55,6 ± 17,9 minutes which was less time in comparison with Group 1 (82,2 ± 37,8 minutes), p<0.05. The rate of successful reperfusion in Group 1 was 82.4%, in Group 2 was 86.2%, p=0.94. The rate of symptomatic intracranial hemorrhage in Group 2 was 13.8%, in Group 1 was 8.8%, p=0.82. The rate of re-occluison in Group 2 was 6.9%, in Group 1 was 26.5%, p=0.04. Group 2 had higher rate of favorable outcome (mRS 0 – 2) 62.1% versus 32.4%, p=0.03. Conclusions: Carotid stenting in Tandem occlusion endovascular treatment was safe. Carotid stenting reduced angiography time, re-occlusion rate and improved clinical outcomes.