Does emergent carotid stenting improve functional outcomes compared to no stenting in patients with acute ischemic stroke due to tandem occlusion?
Emergent carotid stenting may improve functional outcomes in acute ischemic stroke with tandem occlusion, though it carries a higher risk of symptomatic intracranial hemorrhage, highlighting the need for randomized trials.
In observational studies, eCAS seems to be associated with higher good functional outcome than no-stenting in patients with acute ischemic stroke due to tandem occlusion, despite the higher risk of sICH. Dedicated trials are needed to confirm these results.
Diana et al. (Fri,) studied this question.