BACKGROUND: Rapid recanalization of occluded vessels is crucial for good clinical outcome in acute @entity385 . Endovascular treatment is usually performed via a transfemoral approach, but catheterization of the carotid arteries can be problematic in cases of difficult anatomy or vascular pathologies in some cases. OBJECTIVE: To describe our experience with a technique involving surgical access to the carotid artery and consecutive transcarotid endovascular thrombectomy in @entity1 with @entity64 . METHODS: In a retrospective review of a prospectively maintained registry we identified 6 @entity1 who underwent @entity697 via a surgical access to the carotid artery. RESULTS: Admission National Institute of Health @entity64 Scale (NIHSS) ranged from 7 to 23. Intracranial recanalization (thrombolysis in @entity385 , TICI>= 2b) was achieved in all @entity1 (100%). Recanalization was achieved within 19  5 min after establishing carotid access. One @entity1 developed a @entity135 , which was surgically removed without complications. No complications related to endovascular therapy were seen. At 3   months' follow-up, five @entity1 had survived. Three @entity1 (50%) had regained excellent neurological function (modified Rankin Scale, mRS 0-1). CONCLUSIONS: Surgical carotid access for @entity64 treatment is feasible, with considerable advantages, in @entity1 with expected problematic access or for whom transfemoral endovascular carotid access has failed.

Feasibility of combined surgical and endovascular carotid access for interventional treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity135 :: ('MESH:D006258', 'Disease') :: ['small neck hematoma'] @entity64 :: ('MESH:D020521', 'Disease') :: ['Stroke', 'acute stroke', 'endovascular stroke'] @entity697 :: ('MESH:D000208', 'Disease') :: ['acute endovascular thrombectomy'] @entity385 :: ('MESH:D002544', 'Disease') :: ['ischemic stroke', 'cerebral infarction']
@entity385 :: (MESH:D002544,Disease) :: ['ischemic stroke']
