How safe and effective is carotid stenting in carotid dissection?

Stenting in the setting of carotid dissection can be safe and effective, particularly when performed in the appropriate clinical context. The most common scenario where I consider stenting is during a tandem lesion associated with an LVO, where EVT is already being performed. In this setting, dissection-related stenosis or occlusion can significantly impair intracranial access or compromise perfusion, and placing a stent can help alleviate both of these issues.

These cases tend to have good outc...