dc.contributor
Institut Català de la Salut
dc.contributor
[Romano DG] Unit of Interventional Neuroradiology, University Hospital Salerno, Salerno, Italy. [Tortora R] Unit of Interventional Neuroradiology, University Hospital Salerno, Salerno, Italy. Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi, Italy. [De Simone M] Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi, Italy. Neuroanatomy Unit, BrainLab, Mercato San Severino, Salerno, Italy. Neurosurgery Unit, University Hospital “San Giovanni di Dio e Ruggi D’Aragona”, Salerno, Italy. [Frauenfelder G, Siani A] Unit of Neuoradiology, Department of Diagnostic Imaging, University Hospital Salerno, Salerno, Italy. [Amoroso E] Neurosurgery Unit, University Hospital “San Giovanni di Dio e Ruggi D’Aragona”, Salerno, Italy. [Diana F] Secció de Neurorradiologia Intervencionista, Servei de Radiodiagnòstic, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca en Ictus, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain
dc.contributor
Vall d'Hebron Barcelona Hospital Campus
dc.contributor.author
Romano, Daniele Giuseppe
dc.contributor.author
Tortora, Raffaele
dc.contributor.author
DE SIMONE, MATTEO
dc.contributor.author
Frauenfelder, Giulia
dc.contributor.author
Siani, Alfredo
dc.contributor.author
Amoroso, Ettore
dc.date.accessioned
2025-06-14T23:58:20Z
dc.date.available
2025-06-14T23:58:20Z
dc.date.issued
2025-06-11T11:43:02Z
dc.date.issued
2025-06-11T11:43:02Z
dc.identifier
Romano DG, Tortora R, De Simone M, Frauenfelder G, Siani A, Amoroso E, et al. The T-Top Technique for Tandem Lesions: A Single-Center Retrospective Study. J Clin Med. 2025 May;14(9):2945.
dc.identifier
http://hdl.handle.net/11351/13235
dc.identifier
10.3390/jcm14092945
dc.identifier
001488162900001
dc.identifier.uri
http://hdl.handle.net/11351/13235
dc.description.abstract
Endovascular neurosurgery; Internal carotid artery stenosis; Tandem lesions
dc.description.abstract
Neurocirugía endovascular; Estenosis de la arteria carótida interna; Lesiones en tándem
dc.description.abstract
Neurocirurgia endovascular; Estenosi de l'artèria caròtide interna; Lesions en tàndem
dc.description.abstract
Background: Tandem Lesions (TLs) or Tandem Occlusions (TOs) are characterized by simultaneous high-grade stenosis or occlusion of the proximal extracranial internal carotid artery and the intracranial terminal internal carotid artery or its branches. These lesions can result in stroke and pose significant challenges to endovascular treatment. This study introduces and evaluates the “T-Top technique” as an innovative approach to address TLs, assessing its safety and technical efficacy. Methods: Data from acute ischemic stroke (AIS) patients treated with the T-Top technique between September 2022 and September 2023 were retrospectively analyzed. The technique involves using the pusher wire of a stent retriever as a microwire to guide a monorail angioplastic balloon to the extracranial carotid stenosis, performing angioplasty simultaneously with stent retriever anchorage. Clinical outcomes, procedural data, and safety were assessed. Results: Successful reperfusion (mTICI > 2b) was achieved in 91% of cases, with a median groin puncture to final recanalization time of 50 min. Favorable clinical outcomes (mRS < 3) were observed in 69% of patients, with a low mortality rate of 6% after 90 days. Conclusions: The T-Top technique offers a rapid and reliable strategy for TL treatment, improving reperfusion rates and clinical outcomes. Further studies are warranted to validate its efficacy in larger cohorts. This technique holds promise for enhancing endovascular treatment outcomes in patients with Tandem Lesions.
dc.format
application/pdf
dc.relation
Journal of Clinical Medicine;14(9)
dc.relation
https://doi.org/10.3390/jcm14092945
dc.rights
Attribution 4.0 International
dc.rights
http://creativecommons.org/licenses/by/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.subject
Malalties cerebrovasculars - Tractament
dc.subject
Malalties cerebrovasculars - Cirurgia
dc.subject
Vasos sanguinis - Cirurgia
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Avaluació de resultats (Assistència sanitària)
dc.subject
DISEASES::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Cerebrovascular Disorders::Stroke
dc.subject
Other subheadings::Other subheadings::Other subheadings::/surgery
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Vascular Surgical Procedures::Thrombectomy
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Cardiovascular Surgical Procedures::Vascular Surgical Procedures::Endovascular Procedures
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Prognosis::Treatment Outcome
dc.subject
ENFERMEDADES::enfermedades del sistema nervioso::enfermedades del sistema nervioso central::enfermedades cerebrales::trastornos cerebrovasculares::accidente cerebrovascular
dc.subject
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos vasculares::trombectomía
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos cardiovasculares::procedimientos quirúrgicos vasculares::procedimientos endovasculares
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::pronóstico::resultado del tratamiento
dc.title
The T-Top Technique for Tandem Lesions: A Single-Center Retrospective Study
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion
