A proposed modern standardized technical approach for symptomatic chronic carotid total occlusion management

Răzvan Alexandru Radu; Federico Cagnazzo; Adrien Ter Schiphorst; Paolo Machi; Cyril Dargazanli; Pierre-Henri Lefevre; Gregory Gascou; Vincent Costalat

doi:10.1177/15910199231224006

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A proposed modern standardized technical approach for symptomatic chronic carotid total occlusion management

Article de revue

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A proposed modern standardized technical approach for symptomatic chronic carotid total occlusion management

Răzvan Alexandru Radu, Federico Cagnazzo, Adrien Ter Schiphorst, Paolo Machi, Cyril Dargazanli, Pierre-Henri Lefevre, Gregory Gascou et Vincent Costalat

Interventional neuroradiology, p.15910199231224006

03/01/2024

DOI: https://doi.org/10.1177/15910199231224006

PMID: 38166519

Résumé

Review

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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Détails

Titre: A proposed modern standardized technical approach for symptomatic chronic carotid total occlusion management
Créateurs - sans rôle: Răzvan Alexandru Radu - Department of Neuroradiology, , Montpellier University Medical Center, Montpellier, France Department of Clinical Neurosciences, , Bucharest, Romania Departments of Neurology and Interventional Radiology, , Bucharest, Romania Department of Neurology, , Montpellier University Medical Center, Montpellier, France Department of Neuroradiology, , Geneva, Switzerland
Federico Cagnazzo - Department of Neuroradiology, , Montpellier University Medical Center, Montpellier, France Department of Clinical Neurosciences, , Bucharest, Romania Departments of Neurology and Interventional Radiology, , Bucharest, Romania Department of Neurology, , Montpellier University Medical Center, Montpellier, France Department of Neuroradiology, , Geneva, Switzerland
Adrien Ter Schiphorst - Department of Neuroradiology, , Montpellier University Medical Center, Montpellier, France Department of Clinical Neurosciences, , Bucharest, Romania Departments of Neurology and Interventional Radiology, , Bucharest, Romania Department of Neurology, , Montpellier University Medical Center, Montpellier, France Department of Neuroradiology, , Geneva, Switzerland
Paolo Machi - Department of Neuroradiology, , Montpellier University Medical Center, Montpellier, France Department of Clinical Neurosciences, , Bucharest, Romania Departments of Neurology and Interventional Radiology, , Bucharest, Romania Department of Neurology, , Montpellier University Medical Center, Montpellier, France Department of Neuroradiology, , Geneva, Switzerland
Cyril Dargazanli - Department of Neuroradiology, , Montpellier University Medical Center, Montpellier, France Department of Clinical Neurosciences, , Bucharest, Romania Departments of Neurology and Interventional Radiology, , Bucharest, Romania Department of Neurology, , Montpellier University Medical Center, Montpellier, France Department of Neuroradiology, , Geneva, Switzerland
Pierre-Henri Lefevre - Department of Neuroradiology, , Montpellier University Medical Center, Montpellier, France Department of Clinical Neurosciences, , Bucharest, Romania Departments of Neurology and Interventional Radiology, , Bucharest, Romania Department of Neurology, , Montpellier University Medical Center, Montpellier, France Department of Neuroradiology, , Geneva, Switzerland
Gregory Gascou - Department of Neuroradiology, , Montpellier University Medical Center, Montpellier, France Department of Clinical Neurosciences, , Bucharest, Romania Departments of Neurology and Interventional Radiology, , Bucharest, Romania Department of Neurology, , Montpellier University Medical Center, Montpellier, France Department of Neuroradiology, , Geneva, Switzerland
Vincent Costalat - Department of Neuroradiology, , Montpellier University Medical Center, Montpellier, France Department of Clinical Neurosciences, , Bucharest, Romania Departments of Neurology and Interventional Radiology, , Bucharest, Romania Department of Neurology, , Montpellier University Medical Center, Montpellier, France Department of Neuroradiology, , Geneva, Switzerland
Détails de publication: Interventional neuroradiology, p.15910199231224006
Éditeur: SAGE Publications
Identifiants: 99162974709311
Unité académique: Institut de Génomique Fonctionnelle - IGF
Langue: English
Type de ressource: Journal article