Rescue carotid puncture for ischemic stroke treated by endovascular therapy: a multicentric analysis and systematic review.
Julien AllardSam GhazanfariMehdi MahmoudiJulien LabreucheSimon EscalardFrançois DelvoyeGabriele CiccioStanislas SmajdaHocine RedjemSolène HebertArturo ConsoliVincent CostalatJean-Philippe DesillesMikael MazighiMichel PiotinCyril DargazanliBertrand LapergueRaphaël BlancBenjamin MaïerPublished in: Journal of neurointerventional surgery (2020)
RCP mainly concerned elderly patients admitted for AIS with anterior LVO with supra-aortic tortuosity. The procedure seemed feasible, notably for patients treated with IVT, and led to significant reperfusion rates at the end of procedure, but with pronounced unfavorable outcomes at 3 months. RCP should be performed under general anesthesia to avoid life-threatening complications and ensure airways safety. Finally, RCP led to low rates of closure complications, emphasizing that this concern should not withhold RCP, if indicated.
Keyphrases
- systematic review
- minimally invasive
- risk factors
- meta analyses
- cystic fibrosis
- aortic valve
- aortic dissection
- left ventricular
- acute myocardial infarction
- heart failure
- type diabetes
- middle aged
- atrial fibrillation
- cerebral ischemia
- randomized controlled trial
- stem cells
- pulmonary artery
- acute ischemic stroke
- mesenchymal stem cells
- coronary artery
- cell therapy
- weight loss
- bone marrow
- insulin resistance
- brain injury
- pulmonary hypertension
- subarachnoid hemorrhage