Carotid Stenting in Acute Ischemic Stroke Resulting from Tandem Occlusions STEWART WEBER, MD.

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Presentation transcript:

Carotid Stenting in Acute Ischemic Stroke Resulting from Tandem Occlusions STEWART WEBER, MD

Tandem Occlusions Low recanalization rates following thrombolysis High rate of arterial re-occlusion Independently predicts a poor clinical outcome

Identifying a Tandem Occlusion CT angiography

Identifying a Tandem Occlusion CT angiography

Identifying a Tandem Occlusion CT angiography

Identifying a Tandem Occlusion CT angiography - patterns of occlusion

Identifying a Tandem Occlusion CT angiography - patterns of occlusion

Identifying a Tandem Occlusion CT angiography - “carotid ring sign”

Identifying a Tandem Occlusion digital subtraction angiography

Identifying a Tandem Occlusion digital subtraction angiography

Proximal to Distal or Distal to Proximal Revascularization

Proximal to Distal or Distal to Proximal Revascularization

Proximal to Distal or Distal to Proximal Revascularization

Proximal to Distal or Distal to Proximal Revascularization

Dual Antiplatelet Therapy After Thrombolysis risk of intracerebral hemorrhage

Dual Antiplatelet Therapy After Thrombolysis risk of intracerebral hemorrhage

Dual Antiplatelet Therapy After Thrombolysis risk of stent thrombosis

Dual Antiplatelet Therapy After Thrombolysis risk of stent thrombosis

Thanks! STEWART WEBER, MD weberst@ohsu.edu