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A proposed modern standardized technical approach for symptomatic chronic carotid total occlusion management.
Radu, Razvan Alexandru; Cagnazzo, Federico; Schiphorst, Adrien Ter; Machi, Paolo; Dargazanli, Cyril; Lefevre, Pierre-Henri; Gascou, Gregory; Costalat, Vincent.
Afiliación
  • Radu RA; Department of Neuroradiology, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France.
  • Cagnazzo F; Department of Clinical Neurosciences, "Carol Davila" University of Medicine and Pharmacy Bucharest, Bucharest, Romania.
  • Schiphorst AT; Departments of Neurology and Interventional Radiology, University Emergency Hospital Bucharest, Bucharest, Romania.
  • Machi P; Department of Neuroradiology, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France.
  • Dargazanli C; Department of Neurology, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France.
  • Lefevre PH; Department of Neuroradiology, Geneva University Hospital, Geneva, Switzerland.
  • Gascou G; Department of Neuroradiology, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France.
  • Costalat V; Department of Neuroradiology, Gui de Chauliac Hospital, Montpellier University Medical Center, Montpellier, France.
Interv Neuroradiol ; : 15910199231224006, 2024 Jan 03.
Article en En | MEDLINE | ID: mdl-38166519
ABSTRACT
Chronic carotid total occlusion (CCTO) is a known cause of ischemic stroke and transient ischemic attack. Symptomatic CCTO is associated with up to 30% risk of recurrent ischemic stroke, despite optimal medical treatment. Notably, a randomized controlled trial reported that previous surgical management did not improve the overall prognosis of these patients. Endovascular treatment of CCTO has been proposed as a feasible strategy to re-establish cerebral perfusion in symptomatic patients. However, its use is controversial and not supported by evidence from randomized clinical trials. Recently, a meta-analysis reported a reasonably high procedural success without an excess periprocedural complication rate, but several steps are needed before the procedure is mature enough to be tested in randomized controlled trials. This review highlights the developments in the endovascular recanalization of CCTO and emphasizes key steps towards standardizing the procedure.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Diagnostic_studies Idioma: En Revista: Interv Neuroradiol Asunto de la revista: NEUROLOGIA / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Diagnostic_studies Idioma: En Revista: Interv Neuroradiol Asunto de la revista: NEUROLOGIA / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Estados Unidos