Reperfusion therapy in acute ischaemic stroke due to cervical and cerebral artery dissection: Results from a Spanish multicentre study

Campo‐Caballero, David; Riva, Patricia de la; Arce, Ana de; Martínez-Zabaleta, Maite; Rodríguez‐Antigüedad, Jon; Ekiza, J; Iruzubieta, Pablo; Purroy, Francisco; Fuentes, Blanca; Alfonso, Mercedes de Lera; Krupiński, Jerzy; Chirife, J J Mengual; Palomeras, Ernest; Guisado‐Alonso, Daniel; Rodríguez‐Yáñez, Manuel; Ustrell, Xavier; García, J. Tejada; Mimbrera, Alicia de Felipe; Paré-Curell, M.; Tembl, José Ignacio; Cajaraville, S.; Garcés, Moisès; Serena, Joaquı́n

doi:10.1016/j.nrleng.2020.10.012

Cited by 1 publication

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The majority of multicenter analyses show similar rates of recanalization and symptomatic ICH between the 2 approaches. 83,84 Most studies also report similar 90-day functional outcomes, but 1 retrospective study found better functional outcome with the retrograde approach. 85 Aspiration, angioplasty, and stenting have proved to be successful with equivalent outcomes in retrospective series.…”

Section: Hyperacute Treatmentmentioning

confidence: 99%

“…Although many studies report safety with stenting and even higher rates of vessel patency the day after mechanical thrombectomy, an improvement in functional outcome has not been found. [83][84][85]87,88 In randomized, multicenter studies of extracranial stenting, subgroup analysis of patients with cervical artery dissection failed to show a functional benefit after stent placement. 87,88 However, stenting of a stenotic or occluded dissected segment of the vessel can be considered to improve distal perfusion in patients with neurological deficits due to hypoperfusion.…”

Section: Acute Stentingmentioning

confidence: 99%

See 1 more Smart Citation

Treatment and Outcomes of Cervical Artery Dissection in Adults: A Scientific Statement From the American Heart Association

Yaghi,

Engelter,

Del Brutto

et al. 2024

Stroke

View full text Add to dashboard Cite

Cervical artery dissection is an important cause of stroke, particularly in young adults. Data conflict on the diagnostic evaluation and treatment of patients with suspected cervical artery dissection, leading to variability in practice. We aim to provide an overview of cervical artery dissection in the setting of minor or no reported mechanical trigger with a focus on summarizing the available evidence and providing suggestions on the diagnostic evaluation, treatment approaches, and outcomes. Writing group members drafted their sections using a literature search focused on publications between January 1, 1990, and December 31, 2022, and included randomized controlled trials, prospective and retrospective observational studies, meta-analyses, opinion papers, case series, and case reports. The writing group chair and vice chair compiled the manuscript and obtained writing group members’ approval. Cervical artery dissection occurs as a result of the interplay among risk factors, minor trauma, anatomic and congenital abnormalities, and genetic predisposition. The diagnosis can be challenging both clinically and radiologically. In patients with acute ischemic stroke attributable to cervical artery dissection, acute treatment strategies such as thrombolysis and mechanical thrombectomy are reasonable in otherwise eligible patients. We suggest that the antithrombotic therapy choice be individualized and continued for at least 3 to 6 months. The risk of recurrent dissection is low, and preventive measures may be considered early after the diagnosis and continued in high-risk patients. Ongoing longitudinal and population-based observational studies are needed to close the present gaps on preferred antithrombotic regimens considering clinical and radiographic prognosticators of cervical artery dissection.

show abstract

Section: Hyperacute Treatmentmentioning

confidence: 99%