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Response to stent retriever for tandem acute revascularization technique (START): a novel technique for endovascular management of tandem occlusions
  1. C Benjamin Newman1,
  2. Curtis A Given2,
  3. Christian N Ramsey III1
  1. 1 Department of Neurosurgery, Baptist Health Lexington, Lexington, Kentucky, USA
  2. 2 Department of Radiology, Baptist Health Lexington, Lexington, Kentucky, USA
  1. Correspondence to Dr C Benjamin Newman, Department of Neurosurgery, Neurosurgical Associates, Building C Suite 301, 1760 Nicholasville Rd, Lexington, Kentucky 40503, USA; cbnewman{at}

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We read with great interest the videographic depiction of the stent retriever for tandem acute revascularization technique (START) technique, and applaud the authors for their use of a stent retriever wire to facilitate treatment of the cervical occlusion in tandem large vessel occlusion (LVO) stroke cases.1 We published a similar technique in 2020,2 in which we described this as the ”one cross” technique, since the presumptive culprit lesion is crossed only one time, mitigating the risk of losing access or potentially exacerbating a dissection flap by repetitively crossing a previously occluded lesion. This technique of using the stent retriever …

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  • Contributors All authors contributed equally.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial, or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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