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The Dilator-Dotter Technique: A Modified Method of Rapid Internal Carotid Artery Revascularization in Acute Ischemic Stroke INTERVENTIONAL
CONCLUSIONS: The dilator-Dotter technique may be a safe and effective modification of the traditional Dotter technique in allowing rapid ICA recanalization in cases of acute ischemic stroke due to tandem occlusions.
Source: American Journal of Neuroradiology - October 5, 2020 Category: Radiology Authors: Amuluru, K., Sahlein, D., Al-Mufti, F., Payner, T., Kulwin, C., DeNardo, A., Scott, J. Tags: INTERVENTIONAL Source Type: research

Endovascular thrombectomy for tandem acute ischemic stroke associated with cervical artery dissection: a systematic review and meta-analysis
ConclusionsCurrent data suggest that endovascular thrombectomy may be an option in patients with acute ischemic stroke due to cervical artery dissection. This requires further confirmation in higher quality prospective studies.
Source: Neuroradiology - March 11, 2020 Category: Radiology Source Type: research

Standard Diffusion-Weighted Imaging in the Brain Can Detect Cervical Internal Carotid Artery Dissections EXTRACRANIAL VASCULAR
CONCLUSIONS: In our cohort, a standard DWI sequence performed on the brain at the acute phase of a stroke or for a clinical suspicion of dissection detected nearly 90% of cervical ICA dissections.
Source: American Journal of Neuroradiology - February 11, 2020 Category: Radiology Authors: Adam, G., Darcourt, J., Roques, M., Ferrier, M., Gramada, R., Meluchova, Z., Patsoura, S., Viguier, A., Cognard, C., Larrue, V., Bonneville, F. Tags: EXTRACRANIAL VASCULAR Source Type: research

Multicentric Experience in Distal-to-Proximal Revascularization of Tandem Occlusion Stroke Related to Internal Carotid Artery Dissection INTERVENTIONAL
CONCLUSIONS: Endovascular treatment of internal carotid dissection–related tandem occlusion stroke using the distal-to-proximal recanalization strategy appears to be feasible, with low complication rates and considerable rates of successful recanalization.
Source: American Journal of Neuroradiology - June 13, 2018 Category: Radiology Authors: Marnat, G., Bühlmann, M., Eker, O. F., Gralla, J., Machi, P., Fischer, U., Riquelme, C., Arnold, M., Bonafe, A., Jung, S., Costalat, V., Mordasini, P. Tags: INTERVENTIONAL Source Type: research

Clinical and Imaging Characteristics of Arteriopathy Subtypes in Children with Arterial Ischemic Stroke: Results of the VIPS Study PEDIATRICS
CONCLUSIONS: Childhood arteriopathy subtypes have some typical features that aid diagnosis. Better imaging methods, including vessel wall imaging, are needed for improved classification of focal cerebral arteriopathy of childhood.
Source: American Journal of Neuroradiology - November 15, 2017 Category: Radiology Authors: Wintermark, M., Hills, N. K., DeVeber, G. A., Barkovich, A. J., Bernard, T. J., Friedman, N. R., Mackay, M. T., Kirton, A., Zhu, G., Leiva-Salinas, C., Hou, Q., Fullerton, H. J., the VIPS Investigators Tags: PEDIATRICS Source Type: research

Anterior Circulation Acute Ischemic Stroke Associated with Atherosclerotic Lesions of the Cervical ICA: A Nosologic Entity Apart ADULT BRAIN
CONCLUSIONS: Our study suggests that atherothrombotic tandem occlusions represent a peculiar and different nosologic entity compared with dissection-related tandem occlusions. This challenging cause of acute ischemic stroke should be differentiated from other etiologies in patient management in future prospective studies.
Source: American Journal of Neuroradiology - November 15, 2017 Category: Radiology Authors: Eker, O. F., Panni, P., Dargazanli, C., Marnat, G., Arquizan, C., Machi, P., Mourand, I., Gascou, G., Le Bars, E., Costalat, V., Bonafe, A. Tags: ADULT BRAIN Source Type: research

Arterial tortuosity in patients with spontaneous cervical artery dissection
ConclusionCeAD patients exhibit increased arterial tortuosity. This might have potential implications for better understanding of the pathophysiology of the disease as well as clinical utility in evaluation, prognostication, and decision-making of affected individuals.
Source: Neuroradiology - May 11, 2017 Category: Radiology Source Type: research

CT versus MR Techniques in the Detection of Cervical Artery Dissection
CONCLUSIONSCT/CTA is a reliable and better available alternative to MRI/MRA for diagnosis of sCAD. CT/CTA should be used to complement MRI/MRA in cases where MRI/MRA suggests occlusion.
Source: Journal of Neuroimaging - May 1, 2017 Category: Radiology Authors: Uta Hanning, Peter B. Sporns, Meilin Schmiedel, Erich B. Ringelstein, Walter Heindel, Heinz Wiendl, Thomas Niederstadt, Ralf Dittrich Tags: Clinical Investigative Study Source Type: research

Intracranial and Extracranial Neurovascular Manifestations of Takayasu Arteritis ADULT BRAIN
CONCLUSIONS: Intracranial vascular abnormalities in patients with Takayasu arteritis presenting with neurologic symptoms are not rare, with cerebral vasculitis seen in 7.8% of patients, and stroke secondary to large-vessel occlusion, in 3.9% of patients. Cervical vascular manifestations of Takayasu arteritis were present in most patients in our study.
Source: American Journal of Neuroradiology - April 11, 2017 Category: Radiology Authors: Bond, K. M., Nasr, D., Lehman, V., Lanzino, G., Cloft, H. J., Brinjikji, W. Tags: ADULT BRAIN Source Type: research

Stenting of the cervical internal carotid artery in acute stroke management: The Karolinska experience.
Conclusions Our single-centre retrospective analysis of emergency stent placement in the extracranial internal carotid artery in combination with anterior circulation thrombectomy demonstrated high technical success, reasonable clinical outcomes and acceptable rates of symptomatic intracranial haemorrhage in carefully chosen patients which are triaged interdisciplinary based on clinical and computed tomography imaging criteria. This warrants further study in a randomised prospective trial. PMID: 28304205 [PubMed - in process]
Source: Interventional Neuroradiology - March 20, 2017 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Endovascular Management of Tandem Occlusion Stroke Related to Internal Carotid Artery Dissection Using a Distal to Proximal Approach: Insight from the RECOST Study EXTRACRANIAL VASCULAR
CONCLUSIONS: Mechanical endovascular treatment of carotid artery dissection tandem occlusions is safe and effective compared with isolated anterior circulation occlusion stroke therapy. Hence, a more conservative approach with stent placement only in cases of circle of Willis insufficiency may be a reliable and safe strategy.
Source: American Journal of Neuroradiology - July 13, 2016 Category: Radiology Authors: Marnat, G., Mourand, I., Eker, O., Machi, P., Arquizan, C., Riquelme, C., Ayrignac, X., Bonafe, A., Costalat, V. Tags: EXTRACRANIAL VASCULAR Source Type: research

Safety of Unilateral Endovascular Occlusion of the Cervical Segment of the Vertebral Artery without Antecedent Balloon Test Occlusion EDITOR'S CHOICE
CONCLUSIONS: In this series, endovascular occlusion of a cervical segment of 1 vertebral artery was safely performed without antecedent balloon test occlusion. As long as both vertebral arteries were patent and converged at the vertebrobasilar junction, there was anatomic potential for retrograde filling of the distal intracranial vertebral artery to the level of the posterior inferior cerebellar artery origin, and there was no major vascular supply to the spinal cord arising from the target segment of the affected vessel. Dominant and nondominant vertebral arteries were safely occluded, and no infarcts were attributed to the treatment.
Source: American Journal of Neuroradiology - May 15, 2014 Category: Radiology Authors: Zoarski, G. H., Seth, R. Tags: EDITOR ' S CHOICE Source Type: research