Key result
Immediate carotid stenting during EVT for tandem lesions shows registry promise but lacks RCT data.
Why the study?
The optimal treatment strategy for managing extracranial carotid artery lesions in acute ischaemic stroke patients with tandem lesions remains unknown.
Does immediate carotid artery stenting during endovascular thrombectomy improve functional outcomes in patients with acute ischaemic stroke and tandem lesions?
Does immediate carotid artery stenting during endovascular thrombectomy improve functional outcomes in patients with acute ischaemic stroke and tandem lesions?
Observational data suggest that immediate carotid artery stenting during endovascular thrombectomy for tandem lesions may improve functional outcomes and re-perfusion rates, but ongoing randomized trials are needed to establish definitive treatment guidelines.
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Should not yet change practice for tandem lesions; leaves open definitive benefit pending randomized trials.
Elk et al. (2023) conducted a review in Acute ischaemic stroke with tandem lesions. Immediate carotid artery stenting during endovascular thrombectomy vs. Deferred treatment was evaluated. Immediate carotid artery stenting during endovascular thrombectomy for acute ischemic stroke with tandem lesions shows potential benefits in registries, but lacks robust randomized controlled trial data to establish definitive guidelines.
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