RT Journal Article
SR Electronic
T1 Direct carotid puncture in acute ischaemic stroke intervention
JF Stroke and Vascular Neurology
JO Stroke Vasc Neurol Stroke Vasc Neurol
FD BMJ Publishing Group Ltd
SP svn-2019-000260
DO 10.1136/svn-2019-000260
A1 Elisa Colombo
A1 Lorenzo Rinaldo
A1 Giuseppe Lanzino
YR 2020
UL http://svn.bmj.com/content/early/2020/01/29/svn-2019-000260.abstract
AB Endovascular intervention for acute ischaemic stroke care is mostly performed in older patients, often with unfavourable aortic and supra-aortic anatomy, as well as cardiovascular comorbidities. A significant subset of them may benefit from transcervical access as the initial approach for mechanical thrombectomy. In fact, direct carotid artery puncture in these cases has the advantage to bypass the anatomical obstacles and achieve faster reperfusion. Caution is advised when common carotid artery access is pursued in order to avoid adverse events, including haematoma formation, iatrogenic arterial dissection and sheath kinking. In spite of potential complications, direct carotid puncture in acute ischaemic stroke intervention overcomes challenging angioarchitecture and may reduce the rate of poor clinical outcomes associated with delayed revascularisation in certain cases.