What question did this study set out to answer?

This research aims to evaluate the outcomes of endovascular treatment strategies in patients with tandem lesions in acute ischemic stroke.

May 8, 2026European Stroke Journal

Abstract Number: Esoc2026a1728 Evt in Patients With Tandem Lesions: Effect of Cas and Evt Devices

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This research aims to evaluate the outcomes of endovascular treatment strategies in patients with tandem lesions in acute ischemic stroke.
International multicenter cohort study of consecutive acute ischemic stroke patients treated with endovascular therapy from 2016 to 2023.
Comparative analysis of outcomes based on carotid artery stenting and different thrombectomy approaches.
Outcomes measured included functional outcomes at 3 months, angiographic recanalization, and incidence of complications.
Among 1,545 tandem lesion patients, CAS resulted in better functional outcomes with an adjusted odds ratio of 1.33 (95% CI 1.09–1.62).
Stent retriever and combined approaches were associated with higher odds of recanalization (aOR 1.96 and 1.99, respectively).
Combined approaches increased the risk of symptomatic intracranial hemorrhage (aOR 2.50, 95% CI 1.28–4.89) without functional benefit.

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Implication

Randomized trial compares outcomes in acute ischemic stroke patients with tandem lesions treated with carotid artery stenting and different thrombectomy techniques, suggesting implications for...

Cite This Study

Elk et al. (2026) studied this question.

synapsesocial.com/papers/69fd7f3abfa21ec5bbf07a0e https://doi.org/10.1093/esj/aakag023.815

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Implication

Randomized trial compares outcomes in acute ischemic stroke patients with tandem lesions treated with carotid artery stenting and different thrombectomy techniques, suggesting implications for...

Abstract Number: Esoc2026a1728 Evt in Patients With Tandem Lesions: Effect of Cas and Evt Devices

Key Points

Discussion

Implication

Cite This Study

Abstract Number: Esoc2026a1728 Evt in Patients With Tandem Lesions: Effect of Cas and Evt Devices

Key Points

Discussion

Implication

Cite This Study

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