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Interv Neuroradiol. 2017 Jun;23(3):289-292. doi: 10.1177/1591019917690916. Epub 2017 Feb 5.

Retriever wire supported carotid artery revascularization (ReWiSed CARe) in acute ischemic stroke with underlying tandem occlusion caused by an internal carotid artery dissection: Technical note.

Author information

1
Department of Diagnostic and Interventional Neuroradiology, University Medical Center Göttingen, Germany.

Abstract

We hereby report a novel technical approach for the treatment of acute stroke with underlying tandem occlusion. The so-called retriever wire supported carotid artery revascularization (ReWiSed CARe) technique, utilizing the wire of a stent-retriever as a guiding wire for carotid artery stenting, is technically feasible in tandem occlusions caused by an internal carotid artery (ICA) dissection or high grade ICA stenosis. This technique eliminates the need to use a long microwire in order to maintain the position inside the true lumen of a dissection. Additionally, it leads to anterograde perfusion through the released stent-retriever during the time of ICA stenting, which is favorable in all tandem occlusion cases.

KEYWORDS:

Carotid artery dissection; carotid artery stenting; stroke

PMID:
28162027
PMCID:
PMC5490855
DOI:
10.1177/1591019917690916
[Indexed for MEDLINE]
Free PMC Article

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