{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:25:30Z","timestamp":1790774730579,"version":"4.1.0"},"reference-count":32,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI16\/00711"],"award-info":[{"award-number":["PI16\/00711"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["FI16\/00231"],"award-info":[{"award-number":["FI16\/00231"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003329","name":"Ministerio de Econom\u00eda y Competitividad","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003329","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["atherosclerosis-journal.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Atherosclerosis"],"published-print":{"date-parts":[[2020,11]]},"DOI":"10.1016\/j.atherosclerosis.2020.09.002","type":"journal-article","created":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T11:17:36Z","timestamp":1599736656000},"page":"8-13","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":27,"special_numbering":"C","title":["Carotid stent occlusion after emergent stenting in acute ischemic stroke: Incidence, predictors and clinical relevance"],"prefix":"10.1016","volume":"313","author":[{"given":"Arturo","family":"Ren\u00fa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordi","family":"Blasco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4626-6360","authenticated-orcid":false,"given":"Carlos","family":"Laredo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Llull","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4763-5252","authenticated-orcid":false,"given":"Xabier","family":"Urra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Obach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"L\u00f3pez-Rueda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Rudilosso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Zarco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabet","family":"Gonz\u00e1lez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 David","family":"Guio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Amaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angel","family":"Chamorro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1056\/NEJMoa1411587","article-title":"MR CLEAN Investigators. A randomized trial of intraarterial treatment for acute ischemic stroke","volume":"372","author":"Berkhemer","year":"2015","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib2","doi-asserted-by":"crossref","first-page":"2285","DOI":"10.1056\/NEJMoa1415061","article-title":"SWIFT PRIME Investigators. Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke","volume":"372","author":"Saver","year":"2015","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib3","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1056\/NEJMoa1414905","article-title":"ESCAPE Trial Investigators. Randomized assessment of rapid endovascular treatment of ischemic stroke","volume":"372","author":"Goyal","year":"2015","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib4","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1056\/NEJMoa1414792","article-title":"EXTEND-IA Investigators. Endovascular therapy for ischemic stroke with perfusion-imaging selection","volume":"372","author":"Campbell","year":"2015","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib5","doi-asserted-by":"crossref","first-page":"2296","DOI":"10.1056\/NEJMoa1503780","article-title":"REVASCAT Trial Investigators. Thrombectomy within 8 hours after symptom onset in ischemic stroke","volume":"372","author":"Jovin","year":"2015","journal-title":"N. Engl. J. Med."},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib6","doi-asserted-by":"crossref","first-page":"1723","DOI":"10.1016\/S0140-6736(16)00163-X","article-title":"Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials","volume":"387","author":"Goyal","year":"2016","journal-title":"Lancet"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib7","doi-asserted-by":"crossref","first-page":"2301","DOI":"10.1161\/01.STR.0000237070.80133.1d","article-title":"Tandem internal carotid artery\/middle cerebral artery occlusion: an independent predictor of poor outcome after systemic thrombolysis","volume":"37","author":"Rubiera","year":"2006","journal-title":"Stroke"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib8","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1161\/STROKEAHA.117.016182","article-title":"Emergent carotid stenting after thrombectomy in patients with tandem lesions","volume":"48","author":"Behme","year":"2017","journal-title":"Stroke"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib9","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1111\/ene.13577","article-title":"Thrombectomy outcomes for acute stroke patients with anterior circulation tandem lesions: a clinical registry and an update of a systematic review with meta-analysis","volume":"25","author":"Sadeh-Gonik","year":"2018","journal-title":"Eur. J. Neurol."},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib10","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1016\/j.jcin.2018.05.036","article-title":"TITAN Investigators. Carotid stenting with antithrombotic agents and intracranial thrombectomy leads to the highest recanalization rate in patients with acute stroke with tandem lesions","volume":"11","author":"Papanagiotou","year":"2018","journal-title":"JACC Cardiovasc. Interv."},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib11","doi-asserted-by":"crossref","first-page":"3145","DOI":"10.1161\/STROKEAHA.117.018264","article-title":"TITAN Investigators. Thrombectomy in acute stroke with tandem occlusions from dissection versus atherosclerotic cause","volume":"48","author":"Gory","year":"2017","journal-title":"Stroke"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib12","doi-asserted-by":"crossref","first-page":"206","DOI":"10.3389\/fneur.2019.00206","article-title":"Impact of emergent cervical carotid stenting in tandem occlusion strokes treated by thrombectomy: a review of the TITAN collaboration","volume":"10","author":"Zhu","year":"2019","journal-title":"Front. Neurol."},{"issue":"2","key":"10.1016\/j.atherosclerosis.2020.09.002_bib13","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1161\/STROKEAHA.118.021893","article-title":"Analysis of the STRATIS registry","volume":"50","author":"Jadhav","year":"2019","journal-title":"Stroke"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib14","doi-asserted-by":"crossref","first-page":"2250","DOI":"10.1161\/STROKEAHA.118.024733","article-title":"TITAN (thrombectomy in TANdem lesions) investigators. Emergent carotid stenting plus thrombectomy after thrombolysis in tandem strokes: analysis of the TITAN registry","volume":"50","author":"Anadani","year":"2019","journal-title":"Stroke"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib15","doi-asserted-by":"crossref","first-page":"2520","DOI":"10.1161\/STROKEAHA.118.022495","article-title":"Day 1 Extracranial internal carotid artery patency is associated with good outcome after mechanical thrombectomy for tandem occlusion","volume":"49","author":"Bricout","year":"2018","journal-title":"Stroke"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib16","article-title":"TITAN investigators. Impact of antiplatelet therapy during endovascular therapy for tandem occlusions: a collaborative pooled analysis","volume":"19","author":"Zhu","year":"2020","journal-title":"Stroke"},{"issue":"3","key":"10.1016\/j.atherosclerosis.2020.09.002_bib17","first-page":"533","article-title":"Predictors and clinical impact of delayed stent thrombosis after thrombectomy for acute stroke with tandem lesions","volume":"40","author":"Pop","year":"2019","journal-title":"AJNR Am J Neuroradiol"},{"issue":"1","key":"10.1016\/j.atherosclerosis.2020.09.002_bib18","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1177\/0271678X15621704","article-title":"Brain hemorrhage after endovascular reperfusion therapy of ischemic stroke: a threshold-finding whole-brain perfusion CT study","volume":"37","author":"Ren\u00fa","year":"2017","journal-title":"J. Cerebr. Blood Flow Metabol."},{"issue":"4","key":"10.1016\/j.atherosclerosis.2020.09.002_bib19","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1161\/STROKEAHA.110.605766","article-title":"Multimodal CT-assisted thrombolysis in patients with acute stroke: a cohort study","volume":"42","author":"Obach","year":"2011","journal-title":"Stroke"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib20","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1161\/01.STR.24.1.35","article-title":"Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment","volume":"24","author":"Adams","year":"1993","journal-title":"Stroke"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib21","doi-asserted-by":"crossref","first-page":"525","DOI":"10.3174\/ajnr.A1408","article-title":"CT angiography clot burden score and collateral score: correlation with clinical and radiologic outcomes in acute middle cerebral artery infarct","volume":"30","author":"Tan","year":"2009","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib22","doi-asserted-by":"crossref","first-page":"2280","DOI":"10.1161\/01.STR.30.11.2280","article-title":"Hemorrhagic transformation within 36 hours of a cerebral infarct: relationships with early clinical deterioration and 3-month outcome in the European Cooperative Acute Stroke Study I (ECASS I) cohort","volume":"30","author":"Fiorelli","year":"1999","journal-title":"Stroke"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib23","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1136\/neurintsurg-2014-011224","article-title":"Carotid stenting and intracranial thrombectomy for treatment of acute stroke due to tandem occlusions with aggressive antiplatelet therapy may be associated with a high incidence of intracranial hemorrhage","volume":"7","author":"Heck","year":"2015","journal-title":"J. Neurointerventional Surg."},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib24","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1007\/s00234-014-1465-5","article-title":"Mechanical thrombectomy in tandem occlusion: procedural considerations and clinical results","volume":"57","author":"Lockau","year":"2015","journal-title":"Neuroradiology"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib25","doi-asserted-by":"crossref","first-page":"2668","DOI":"10.1007\/s00415-015-7895-0","article-title":"Thrombectomy assisted by carotid stenting in acute ischemic stroke management: benefits and harms","volume":"262","author":"Steglich-Arnholm","year":"2015","journal-title":"J. Neurol."},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib26","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.atherosclerosis.2019.09.024","article-title":"The impact of post-dilatation on periprocedural outcomes during carotid artery stenting: a single-centre experience","volume":"290","author":"Besli","year":"2019","journal-title":"Atherosclerosis"},{"issue":"7","key":"10.1016\/j.atherosclerosis.2020.09.002_bib27","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1136\/neurintsurg-2013-010873","article-title":"Carotid artery stenting without post-stenting balloon dilatation","volume":"6","author":"Ogata","year":"2014","journal-title":"J. Neurointerventional Surg."},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib28","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.3174\/ajnr.A0543","article-title":"Carotid stenting without use of balloon angioplasty and distal protection devices: preliminary experience in 100 cases","volume":"28","author":"Maynar","year":"2007","journal-title":"AJNR"},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib29","doi-asserted-by":"crossref","first-page":"616","DOI":"10.1016\/j.jvs.2015.03.069","article-title":"Poststent ballooning is associated with increased periprocedural stroke and death rate in carotid artery stenting","volume":"62","author":"Obeid","year":"2015","journal-title":"J. Vasc. Surg."},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib30","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1007\/s00330-016-4338-y","article-title":"Stent-retriever thrombectomy for acute anterior ischemic stroke with tandem occlusion: a systematic review and meta-analysis","volume":"27","author":"Sivan-Hoffmann","year":"2017","journal-title":"Eur. Radiol."},{"issue":"8","key":"10.1016\/j.atherosclerosis.2020.09.002_bib31","doi-asserted-by":"crossref","first-page":"1326","DOI":"10.1016\/j.jstrokecerebrovasdis.2012.12.006","article-title":"Hemorrhagic risk of emergent endovascular treatment plus stenting in patients with acute ischemic stroke","volume":"22","author":"Dorado","year":"2013","journal-title":"J. Stroke Cerebrovasc. Dis."},{"key":"10.1016\/j.atherosclerosis.2020.09.002_bib32","doi-asserted-by":"crossref","first-page":"2171","DOI":"10.1161\/STROKEAHA.116.015965","article-title":"Acute occlusions of dual-layer carotid stents after endovascular emergency treatment of tandem lesions","volume":"48","author":"Yilmaz","year":"2017","journal-title":"Stroke"}],"container-title":["Atherosclerosis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0021915020304895?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0021915020304895?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T20:50:30Z","timestamp":1777409430000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0021915020304895"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":32,"alternative-id":["S0021915020304895"],"URL":"https:\/\/doi.org\/10.1016\/j.atherosclerosis.2020.09.002","relation":{},"ISSN":["0021-9150"],"issn-type":[{"value":"0021-9150","type":"print"}],"subject":[],"published":{"date-parts":[[2020,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Carotid stent occlusion after emergent stenting in acute ischemic stroke: Incidence, predictors and clinical relevance","name":"articletitle","label":"Article Title"},{"value":"Atherosclerosis","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.atherosclerosis.2020.09.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}