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Proceedings SNO “LX Congresso Nazionale SNO”
GIOVEDÌ, 18 NOVEMBRE

Abstract COMUNICAZIONE ORALE

Acute middle cerebral artery occlusion
and underlying intracranial stenosis: c
linico-neuroradiological patterns and therapeutic approaches

2
A. CONSOLI , G. CARITÀ , A. SALETTI 2
1
1 Neuroradiologia Interventistica, Arcispedale “S. Anna”, Ferrara, Italy
2 Neuroradiologie thérapeutique et interventionnelle, Hopital Foch, Paris, France

❒ ❒ INTRODUCTION. Underlying IntraCranial Atheromatous ❒ ❒ RESULTS. Hypertension (p = 0.02), diabetes (p < 0.001),
Stenosis (ICAS) is one of the more challenging etiologies lower rates of atrial fibrillation (p = 0.006), lower National
to detect in the acute setting of ischemic stroke. Institutes of Health Stroke Scale (NIHSS) at onset (p <
Endovascular treatment is still currently debated for this 0.001) and NIHSS at arrival (p < 0.001) were more fre-
subgroup of patients. We propose a clinico-neuroradiolog- quent in the ICAS group. Procedure time were longer, the
ical pattern to identify ICAS associated with M1-Middle average number of maneuvers were higher in the ICAS
Cerebral Artery (M1-MCA) occlusion and we report the group (164 vs 76.4 min, p < 0.001; 5.7 vs 2.3, p < 0.001),
results of the endovascular management of these patients. while recanalization rates were significantly lower (mTICI
❒ ❒ METHODS. A cohort of 17 patients with ICAS was com- 0-2a 66.6% vs 16.7%, p < 0.001). Untreated patients with
pared to a cohort of 303 patients with M1-MCA occlusion ICAS had higher favorable outcome rates (100% vs 25%).
without ICAS admitted to two experienced centers between ❒ ❒ CONCLUSIONS. The analysis of clinical and neuroradio-
January 2016 and June 2018. Clinical, neuroradiological logical predictors could improve the pre-treatment detec-
and procedural data were collected for all the patients as tion of MCA occlusion with underlying ICAS. Conser-
well as the clinical and neuroradiological outcomes. vative management could be considered in these cases.

Corrispondenza: Dr. Giuseppe Carità, Neuroradiologia Interventistica, Arcispedale “S. Anna”, via Aldo Moro, 44124 Ferrara (FE), e-
mail: caritapeppe@yahoo.it
LX Congresso Nazionale SNO, 17-20 novembre 2021, Cagliari.
Atti a cura di Maurizio Melis, Carlo Conti, Simone Comelli.
Copyright © 2021 by new Magazine edizioni s.r.l., Trento, Italia. www.newmagazine.it ISBN: 978-88-8041-134-5

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