How do you decide on timing of carotid stenting after thrombectomy for an intracranial large vessel occlusion with associated ipsilateral carotid stenosis?
Are there specific characteristics of the plaque, such as the degree of stenosis or its morphology, that would influence your decision?
Answer from: at Academic Institution
There are ongoing randomized trials that are attempting to tackle this question. So, a data-driven status will be available soon. In the meantime, clinical considerations apply:
Sometimes one has to stent to gain access to the intracranial circulation, perhaps due to a very tight extracranial car...
This is a complex question, and the optimal approach depends on the underlying etiology of the extracranial stenosis. For example, in cases of tandem LVO with ICA dissection and flow-limiting stenosis, stenting may be considered to stabilize the dissection and prevent further propagation. On the oth...