Demographic, clinical, and procedural data of 24 patients with tandem occlusions of the anterior circulation
| Demographic characteristics | |
| Gender | Men: 20 (83%), women: 4 (17%) |
| Age | Mean 66 years (range 51–77) |
| Presentation | |
| NIHSS | Mean 20.4, median 18 (range 14–28) |
| ASPECTS | Mean 9, median 9 (range 7–10) |
| Tandem occlusions | |
| Lt ICA–Lt MCA trunk | 11 (46%) |
| Rt ICA–Rt MCA trunk | 6 (25%) |
| Lt ICT–Lt ICA terminus | 4 (17%) |
| Rt ICA–Rt ICA terminus | 2 (8%) |
| ICA–MCA trunk–ACA | 1 (4%) |
| ASITN/SIR | 0–2 (poor): 24 |
| Endovascular procedure | |
| Unprotected pre-angioplasty | 24 (100%) |
| Unprotected ICA stenting | 16 (67%) |
| Protected ICA stenting | 8 (33%) |
| Conservative post-dilation | 14 (58%) |
| Extracranial ICA recanalization | 24 (100%) |
| Stent-thrombectomy of distal occlusion(s) | 24 patients/25 occlusions (100%) |
| Outcomes | |
| Time to therapy | Mean 3.3 hours (range 2–5.2) |
| Time to recanalization | Mean 51 min (range 38–69) |
| Complete recanalization/complete reperfusion (TIMI 3/TICI 2b) | 19 (79%) |
| Complete recanalization/partial reperfusion (TIMI 3/TICI 2a) | 3 (13%) |
| Partial recanalization/partial reperfusion (TIMI 2/TICI 2a) | 2 (8%) |
| Procedural complications | 0 |
| Procedure-related mortality | 0 |
| Mortality (all cause, within 3 months) | 2 (8%) |
| 3-month mRS (17/22 living patients, 71%) | 0–2: 13 (76%) |
| 3: 4 (24%) | |
| 6-month mRS (20/22 living patients) | 0–2: 14 (70%) |
| 3: 6 (30%) | |
ACA, anterior cerebral artery; ASITN/SIR, American Society of Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology collateral flow grading system; ASPECTS, Alberta Stroke Program Early CT Score; ICA, internal carotid artery; Lt, left; MCA, middle cerebral artery; mRS, modified Rankin Scale; NIHSS, National Institutes of Health Stroke Score; Rt, right; TICI, Thrombolysis in Cerebral Infarction grade; TIMI, Thrombolysis in Myocardial Infarction grade.