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

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

3. Identifying a Tandem Occlusion
CT angiography

4. Identifying a Tandem Occlusion
CT angiography

5. Identifying a Tandem Occlusion
CT angiography

6. Identifying a Tandem Occlusion
CT angiography - patterns of occlusion

7. Identifying a Tandem Occlusion
CT angiography - patterns of occlusion

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

9. Identifying a Tandem Occlusion
digital subtraction angiography

10. Identifying a Tandem Occlusion
digital subtraction angiography

11. Proximal to Distal or Distal to Proximal Revascularization

12. Proximal to Distal or Distal to Proximal Revascularization

13. Proximal to Distal or Distal to Proximal Revascularization

14. Proximal to Distal or Distal to Proximal Revascularization

15. Dual Antiplatelet Therapy After Thrombolysis
risk of intracerebral hemorrhage

16. Dual Antiplatelet Therapy After Thrombolysis
risk of intracerebral hemorrhage

17. Dual Antiplatelet Therapy After Thrombolysis
risk of stent thrombosis

18. Dual Antiplatelet Therapy After Thrombolysis
risk of stent thrombosis

19. Thanks!
STEWART WEBER, MD