Cervical Dissection in Patients With Tandem Lesions Is Associated With Distal Embolism and Lower Recanalization Success.
Milagros Galecio-CastilloWaldo R GuerreroAmeer E HassanMudassir FarooquiMouhammad A JumaaAfshin A DivaniMichael G AbrahamNils H PetersenJohanna T FifiAmer M MalikJames E SieglerThanh N NguyenSunil A ShethAlbert J YooGuillermo LinaresNazli JanjuaDarko Quispe-OrozcoMarta Olive GadeaWondwossen G TekleSyed F ZaidiSara Y SabbaghTiffany BarkleyAyush PrasadReade Andrew De LeacyMohamad AbdalKaderSergio Salazar-MarioniJazba SoomroWeston GordonCharoskhon TurabovaAaron Rodriguez CalienesMahmoud DibasMaxim MokinDileep R YavagalMarc RiboTudor G JovinSantiago Ortega GutierrezPublished in: Stroke (2024)
This study reveals that among patients with acute stroke with tandem lesions, cervical ICA dissection is associated with higher rates of distal embolism and lower rates of successful recanalization than atherosclerotic lesions. Using techniques to minimize the risk of distal embolism may mitigate this contrast. Further prospective randomized trials are warranted to fully understand these associations.