September 16, 2025

Emergent Carotid Artery Stenting in Patients With Acute Ischemic Stroke With Tandem Lesions: One-Year Follow-Up Results From the SECURIS Study.

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Discussion

Observational analysis found eCAS improved functional outcomes in patients with AIS and tandem lesions, indicating its safety and efficacy.

eCAS resulted in better functional outcomes at both 90 days and 1 year after treatment, showing a common odds ratio of 1.47.
Among 578 patients analyzed, 344 underwent eCAS, with higher successful recanalization rates at 90 days (OR 4.28).
Stratified analyses showed consistent benefits of eCAS in moderate and severe ICA stenosis subgroups, without increasing safety risks.
Limitations include the observational nature of the study, suggesting a need for further research on treatment effects in women and older patients.

Díaz et al. (2025) studied this question.

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Observational analysis found eCAS improved functional outcomes in patients with AIS and tandem lesions, indicating its safety and efficacy.