scholarly journals A feasible alternative to transfemoral artery access for endovascular revascularization in acute ischemic stroke in cases with difficult vessel anatomy

2021 ◽  
Vol 23 (3) ◽  
pp. 85-92
Author(s):  
S. A. Prozorov
Keyword(s):  
Ischemic Stroke ◽  
Endovascular Treatment ◽  
Acute Ischemic Stroke ◽  
Iliac Artery ◽  
Artery Occlusion ◽  
Transfemoral Approach ◽  
Iliac Artery Occlusion ◽  
Endovascular Revascularization ◽  
Feasible Alternative ◽  
Vessel Tortuosity

Endovascular treatment in acute ischemic stroke is usually performed via a transfemoral approach. Catheterization can be problematic in cases with difficult anatomy: unfavorable arch type, vessel tortuosity and ostial stenosis, aorta coarc‑ tation, iliac artery occlusion. The aim of this review is to describe the place of another arterial approach in the manage‑ ment in acute ischemic stroke: direct common carotid 

Abstract TP19: Clinical Outcomes In Patients With Acute Ischemic Stroke Due To Large Vessel Occlusion In The Modern Era: 2010-2011 Experience With 423 Patients.

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Maxim Mokin ◽  
Tareq Kass-Hout ◽  
Omar Kass-Hout ◽  
Erol Veznedaroglu ◽  
Fadi Nahab ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Endovascular Treatment ◽  
Acute Ischemic Stroke ◽  
Clinical Outcomes ◽  
Medical Management ◽  
Mortality Rates ◽  
Artery Occlusion ◽  
Large Vessel ◽  
Large Vessel Occlusion ◽  
Vessel Occlusion

Background and Purpose: Acute ischemic stroke due to large vessel occlusion is associated with a poor prognosis. With no consensus about the best treatment option, various treatment modalities including conservative management, intravenous tissue plasminogen activator, and endovascular approach are currently being used. Methods: Retrospective data including demographic information, baseline NIHSS score, site of occlusion (based on CTA, MRA or angiogram), type of treatment and clinical outcomes were collected from 4 centers in the United States during the period of 2010-2011. Results: A total of 423 were included in final analysis: 175 patients received conservative medical management, 54 patients received intravenous (IV) thrombolysis alone, and 194 patients had endovascular treatment (with or without prior IV tPA). Younger patients were more likely to receive endovascular treatment (p<0.001). There was no statistically significant difference among the sex and co-morbid conditions among the three groups. Proximal middle cerebral artery was the most commonly involved vessel. Strokes due to basilar artery occlusion or internal carotid artery occlusion were associated with worst outcomes in all three groups. Conservative medical management had the lowest rates of symptomatic intracerebral hemorrhage but also the highest mortality rates at 3 months. Patients who received endovascular treatment within the first 3 hrs had better outcome and lower mortality rates as compared to patients with intervention during 3-8 hours or beyond 8 hrs. Conclusions: Our study represents real world experience on the management and outcomes of acute ischemic strokes due to large vessel occlusion. Our results help understand natural history of strokes with large vessel occlusion, as well as modern trends in managing these patients with intravenous and intraarterial treatment approaches.

Percutaneous Endovascular Treatment of Chronic Iliac Artery Occlusion

2004 ◽  
Vol 27 (5) ◽  
Author(s):  
F. C. Carnevale ◽  
Mariano De Blas ◽  
Santiago Merino ◽  
Jose M. Ega�a ◽  
Jose G.M.P. Caldas
Keyword(s):  
Endovascular Treatment ◽  
Iliac Artery ◽  
Artery Occlusion ◽  
Iliac Artery Occlusion

scholarly journals Acute bilateral iliac artery occlusion secondary to blunt trauma: successful endovascular treatment

2003 ◽  
Vol 38 (3) ◽  
pp. 589-592 ◽  
Author(s):  
W.Charles Sternbergh ◽  
Michael S Conners ◽  
Melissa A Ojeda ◽  
Samuel R Money
Keyword(s):  
Endovascular Treatment ◽  
Blunt Trauma ◽  
Iliac Artery ◽  
Artery Occlusion ◽  
Iliac Artery Occlusion

scholarly journals Endovascular treatment for long segment iliac artery occlusion involving the iliac artery opening

2021 ◽  
Vol 44 (1) ◽  
pp. 235-240
Author(s):  
Ya-dong Zhou ◽  
Yun-biao Guan ◽  
Ming Xue ◽  
Xue-xun Zheng ◽  
Xing-sheng Chen
Keyword(s):  
Endovascular Treatment ◽  
Iliac Artery ◽  
Artery Occlusion ◽  
Iliac Artery Occlusion

scholarly journals Nuances of transradial approach for mechanical thombectomy in acute basilar artery occlusion

2019 ◽  
Vol 46 (Suppl_1) ◽  
pp. V5 ◽  
Author(s):  
Leonardo Rangel-Castilla ◽  
Giuseppe Lanzino
Keyword(s):  
Ischemic Stroke ◽  
Elderly Patients ◽  
Endovascular Treatment ◽  
Vertebral Artery ◽  
Acute Ischemic Stroke ◽  
Basilar Artery ◽  
Recovery Of Function ◽  
Artery Occlusion ◽  
Basilar Artery Occlusion ◽  
Transradial Approach

In elderly patients with acute ischemic stroke, tortuosity of the proximal vertebral artery makes access from the transfemoral route challenging and time consuming. In such cases, a transradial approach (TA) offers a more direct vertebral artery (VA) access that overcomes proximal VA tortuosity. In this video the authors illustrate nuances of the TA for acute basilar artery occlusion in two patients with challenging proximal VA anatomy. Techniques, devices, and pitfalls are discussed. In both patients, mechanical clot retrieval was successful and resulted in significant recovery of function. The authors believe that the TA should be the initial approach for basilar artery (BA) occlusion management in elderly patients and should be considered for selected patients with other conditions requiring endovascular treatment.The video can be found here: https://youtu.be/_Ym9tMKUy_4.

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