Response to stent retriever for tandem acute revascularization technique (START): a novel technique for endovascular management of tandem occlusions

We read with great interest the videographic depiction of the stent retriever for tandem acute revascularization technique (START) technique, and applaud the authors for their use of a stent retriever wire to facilitate treatment of the cervical occlusion in tandem large vessel occlusion (LVO) stroke cases.1 We published a similar technique in 2020,2 in which we described this as the "one cross" technique, since the presumptive culprit lesion is crossed only one time, mitigating the risk of losing access or potentially exacerbating a dissection flap by repetitively crossing a previously occluded lesion. This technique of using the stent retriever wire to deliver angioplasty balloons and stents in tandem LVO stroke cases has afforded us great success for several years now, with very short procedure times, and excellent clinical outcomes. We would like to share a few observations that have benefited our patients. Using the longest...
Source: Journal of NeuroInterventional Surgery - Category: Neurosurgery Authors: Tags: Ischemic stroke Source Type: research