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June 2013

Acute Cervical Internal Carotid Artery Occlusion Stroke

Author Affiliations

Author Affiliation: Department of Neurology, Duke University Medical Center, Durham, North Carolina.

JAMA Neurol. 2013;70(6):805. doi:10.1001/jamaneurol.2013.30

I read with great interest the article by Seet et al in a recent issue of the journal.1 The authors tried to compare the treatment results between an established and universally followed treatment (intravenous tissue plasminogen activator) and a potentially new treatment (primary endovascular therapy) in the management of acute cervical carotid occlusion.

The authors concluded that “intravenous thrombolysis should be administered as first-line treatment in patients with early acute cervical ICA [internal carotid artery] occlusion.” Also, “treatment benefits are accentuated in patients with better collateral circulation.” This is no different than the current practice and guidelines.

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