Revascularization strategies in acute stroke with tandem occlusions: The Impact of Dissection vs. Atherosclerotic etiology on Clinical Outcomes
This study on tandem occlusions found that patients with carotid dissection experienced better clinical outcomes than those with atherosclerotic carotid disease, despite a higher rate of stent reocclusion. However, multivariate analysis indicated that the underlying etiology was not an independent predictor of outcome; instead, patient age and initial stroke severity were more influential factors. Given the increased risk of reocclusion, patients with carotid dissection may benefit from a more individualized antithrombotic strategy to maintain stent patency.
Authors
- Miklós Krepuska (ORCID: https://orcid.org/0000-0003-0635-358X)
- Tilman B. Schubert (ORCID: https://orcid.org/0000-0003-2373-5870)
- Patrick Thurner (ORCID: https://orcid.org/0000-0003-3966-5520)
- Andreas R. Luft (ORCID: https://orcid.org/0000-0001-9865-7382)
- Zsolt Kulcsár (ORCID: https://orcid.org/0000-0002-6805-5150)
- Jawid Madjidyar (ORCID: https://orcid.org/0000-0003-1413-3069)
- Christoph Globas (ORCID: https://orcid.org/0000-0002-2355-1150)
- Susanne Wegener (ORCID: https://orcid.org/0000-0003-4369-7023)
- Mara Z. Thut
- Gregory Howaldt
Institutions
- University of Zurich (CH)
- Laboratory for Biomedical Neurosciences (CH)
- University Hospital of Zurich (CH)
Publication Details
- Journal
- Journal of Stroke and Cerebrovascular Diseases
- Published
- 2025-05-26
- DOI
- https://doi.org/10.1016/j.jstrokecerebrovasdis.2025.108362
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00