Book chapter
Tandem Occlusion Causing Acute Ischemic Stroke
Acute Stroke Management in the Era of Thrombectomy, pp.119-128
Springer International Publishing
06/23/2019
DOI: 10.1007/978-3-030-17535-1_10
Abstract
Tandem occlusion (TO) is defined as the presence of concurrent large intracranial and extracranial artery occlusion causing an acute ischemic stroke (AIS). The stroke mechanism is usually an artery-to-artery embolization of a thrombus formed at the site of cervical carotid obstruction, which may be caused by atherosclerotic disease or dissection. The cervical carotid occlusion poses additional challenges to mechanical thrombectomy (MT) of the acute intracranial artery occlusion. Treatment of the intracranial occlusion usually requires crossing and often treating the cervical occlusion. Although the optimal endovascular treatment strategy for TO remains uncertain, we provide a review of current evidence-based recommendations to manage these patients, as well as practical tips.
Details
- Title: Subtitle
- Tandem Occlusion Causing Acute Ischemic Stroke
- Creators
- James Rossen - University of IowaKaustubh Limaye - University of IowaDavid Hasan - University of Iowa Hospitals and Clinics
- Resource Type
- Book chapter
- Publication Details
- Acute Stroke Management in the Era of Thrombectomy, pp.119-128
- Publisher
- Springer International Publishing; Cham
- DOI
- 10.1007/978-3-030-17535-1_10
- Language
- English
- Date published
- 06/23/2019
- Academic Unit
- Neurosurgery; Cardiovascular Medicine; Roy J. Carver Department of Biomedical Engineering; Internal Medicine; Neurology
- Record Identifier
- 9984419138102771
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