Transcarotid Endovascular Thrombectomy for Acute Ischemic Stroke

J Vasc Interv Radiol. 2018 Jul;29(7):1006-1010. doi: 10.1016/j.jvir.2018.03.012.

Abstract

Endovascular thrombectomy (EVT) via a transfemoral approach can be extremely time-consuming or even impossible. This brief review presents 7 transcarotid EVT procedures in which reperfusion graded as 2b or 3 on the Thrombolysis In Cerebral Infarction scale was achieved. Neck hematoma in need of treatment occurred in 1 patient. Two patients died. In the remaining patients, clinical outcome was graded as a modified Rankin scale score of 3 or less. The results suggest that transcarotid access may be a realistic option for EVT when transfemoral catheterization of the internal carotid artery is not feasible.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Brain Ischemia / diagnostic imaging
  • Brain Ischemia / etiology*
  • Carotid Artery, Internal / diagnostic imaging
  • Carotid Artery, Internal / surgery*
  • Carotid Stenosis / complications
  • Carotid Stenosis / diagnostic imaging
  • Carotid Stenosis / mortality
  • Carotid Stenosis / surgery*
  • Computed Tomography Angiography
  • Databases, Factual
  • Disability Evaluation
  • Endovascular Procedures* / adverse effects
  • Endovascular Procedures* / mortality
  • Female
  • Hematoma / etiology
  • Hematoma / therapy
  • Humans
  • Male
  • Middle Aged
  • Stroke / diagnostic imaging
  • Stroke / etiology*
  • Thrombectomy / adverse effects
  • Thrombectomy / methods*
  • Thrombectomy / mortality
  • Treatment Outcome