Rescue extracranial vertebral stenting in tandem occlusions: A preliminary Vietnamese study.

Autor:	Minh TL; DSA Unit, Can Tho S.I.S General Hospital, Can Tho City, Vietnam., Chi CT; DSA Unit, Can Tho S.I.S General Hospital, Can Tho City, Vietnam., Hoai NN; Department of Cardiovascular Surgery, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam., Hoang DN; Department of Cardiovascular Surgery, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam., Luu GN; DSA Unit, Can Tho S.I.S General Hospital, Can Tho City, Vietnam., Nhat HND; DSA Unit, Can Tho S.I.S General Hospital, Can Tho City, Vietnam., Hoang LD; DSA Unit, Can Tho S.I.S General Hospital, Can Tho City, Vietnam., Tran TN; Department of Internal Medicine, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam., Bao LTM; Department of Cardiovascular Surgery, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Jazyk:	angličtina
Zdroj:	Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences [Interv Neuroradiol] 2024 Jul 21, pp. 15910199241264342. Date of Electronic Publication: 2024 Jul 21.
DOI:	10.1177/15910199241264342
Abstrakt:	Background and Purpose: The acute vertebrobasilar occlusion associated with the poor prognosis, particularly tandem occlusion. However, few data on the efficacy of the endovascular therapy was indicated in this occlusion. We investigated whether the additional rescue extracranial vertebral stenting improved clinical outcome by modified Rankin scale (mRS) score within 3 months after the procedure. Methods: This was a retrospective analysis of patients with acute posterior tandem occlusion who were treated with rescue extracranial vertebral stenting between December 2020 and January 2024 at our hospital. Clinical, neuroimaging, procedural, and complication data were collected. Primary outcomes included the rate of good outcomes (mRS ≤ 2) at 3-month follow-up. Results: Nine patients who underwent rescue extracranial vertebral stenting in posterior circulation tandem occlusions were enrolled in the study. All patients were achieved the successful recanalization (mTICI ≥ 2b). Of Dotter technique in the "distal-to-proximal" approach, Diagnostic-Dotter made up 66.7%. Five patients (55.6%) with good outcome (mRS ≤ 2) at 3 months, and 1 patient (11.1%) underwent suboccipital decompressive craniectomy due to the malignant cerebellar infarction. Conclusion: Our study suggests that despite the small series with posterior tandem occlusions, the rescue extracranial vertebral stenting could be an important alternative treatment followed by mechanical thrombectomy. Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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