{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T21:16:38Z","timestamp":1793740598433,"version":"4.6.1"},"reference-count":16,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2017,9,24]],"date-time":"2017-09-24T00:00:00Z","timestamp":1506211200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Carotid artery anatomy is thought to influence internal carotid artery access time (ICA-AT) in patients requiring mechanical thrombectomy for acute ischemic stroke. This study investigates the association between ICA-AT and carotid anatomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>Computed tomography angiography (CTA) data of 76 consecutive patients presenting with acute ischemic stroke requiring mechanical thrombectomy for middle cerebral artery or carotid T occlusion were evaluated. The supraaortic extracranial vasculature was analyzed regarding take-off angles and curvature of the affected side. Digital subtraction angiography data were primarily analyzed regarding ICA-AT and secondarily regarding recanalization time and radiographic result.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>ICA-AT was significantly influenced by vessel tortuosity. Take-off angle of the left common carotid artery ( p\u2009=\u20090.001) and the brachiocephalic trunk ( p\u2009=\u20090.002) as well as the tortuosity of the common carotid artery ( p\u2009=\u20090.002) had highest impact on ICA-AT. For recanalization time, however, we found only the take-off angle of the left common carotid artery to be of significance ( p\u2009=\u20090.020). There was a tendency for ICA-AT to correlate with successful (mTICI\u2009\u2265\u20092\u2009b) revascularization (average time of successful results was 24.3 minutes, of unsuccessful was 35.6 minutes; p\u2009=\u20090.065). Every evaluated segment with less carotid tortuosity showed a carotid AT below 25 minutes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Supraaortic vessel tortuosity significantly influences ICA-AT in mechanical thrombectomy for an acute large vessel. There furthermore was a trend for lower successful recanalization rates with increasing ICA-AT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1591019917729364","type":"journal-article","created":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T02:18:57Z","timestamp":1506305937000},"page":"583-588","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":79,"title":["Influence of carotid tortuosity on internal carotid artery access time in the treatment of acute ischemic stroke"],"prefix":"10.1177","volume":"23","author":[{"given":"ZO","family":"Kaymaz","sequence":"first","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology, University Hospital of the RWTH Aachen, Aachen, Germany"},{"name":"Department of Neuroradiology, University Medical Center Mainz, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O","family":"Nikoubashman","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology, University Hospital of the RWTH Aachen, Aachen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MA","family":"Brockmann","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, University Medical Center Mainz, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Wiesmann","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology, University Hospital of the RWTH Aachen, Aachen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Brockmann","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, University Medical Center Mainz, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,9,24]]},"reference":[{"key":"bibr1-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1111\/ene.12944"},{"key":"bibr2-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1411587"},{"key":"bibr3-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1414905"},{"key":"bibr4-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1111\/ijs.12459"},{"key":"bibr5-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000465854.55834.37"},{"key":"bibr6-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1111\/ijs.12157"},{"key":"bibr7-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1414792"},{"key":"bibr8-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.113.001972"},{"key":"bibr9-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.116.308398"},{"key":"bibr10-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1159\/000446749"},{"key":"bibr11-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1007\/s10016-005-8045-4"},{"key":"bibr12-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.110.588772"},{"key":"bibr13-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2015-011719"},{"key":"bibr14-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2013-011007"},{"key":"bibr15-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2013-010971"},{"key":"bibr16-1591019917729364","doi-asserted-by":"publisher","DOI":"10.1177\/1971400915609352"}],"container-title":["Interventional Neuroradiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1591019917729364","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1591019917729364","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1591019917729364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:57:43Z","timestamp":1777460263000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1591019917729364"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,24]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1177\/1591019917729364"],"URL":"https:\/\/doi.org\/10.1177\/1591019917729364","relation":{},"ISSN":["1591-0199","2385-2011"],"issn-type":[{"value":"1591-0199","type":"print"},{"value":"2385-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,24]]}}}