Endovascular Treatment for Acute Large Vessel Occlusion Due to Underlying Intracranial Atherosclerotic Disease
Semin Neurol DOI: 10.1055/s-0043-1771207Intracranial atherosclerotic disease (ICAD) is one of the most common causes of acute ischemic stroke worldwide. Patients with acute large vessel occlusion due to underlying ICAD (ICAD-LVO) often do not achieve successful recanalization when undergoing mechanical thrombectomy (MT) alone, requiring rescue treatment, including intra-arterial thrombolysis, balloon angioplasty, and stenting. Therefore, early detection of ICAD-LVO before the procedure is important to enable physicians to select the optimal treatment strategy for ICAD-LVO to improve clinical outcomes. Early diagnosis of ICAD-LVO is challenging in the absence of consensus diagnostic criteria on noninvasive imaging and early digital subtraction angiography. In this review, we summarize the clinical and diagnostic criteria, prediction of ICAD-LVO prior to the procedure, and EVT strategy of ICAD-LVO and provide recommendations according to the current literature. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents | Abstract | Full text
Source: Seminars in Neurology - Category: Neurology Authors: Huo, Xiaochuan Sun, Dapeng Chen, Wenhuo Han, Hongxing Abdalkader, Mohamad Puetz, Volker Yi, Tingyu Wang, Hao Liu, Raynald Tong, Xu Jia, Baixue Ma, Ning Gao, Feng Mo, Dapeng Yan, Bernard Mitchell, Peter J. Leung, Thomas W. Yavagal, Dileep R. Albers, Gregor Tags: Review Article Source Type: research
More News: Angiography | Angioplasty | Baloon Angioplasty | Brain | Information Technology | Ischemic Stroke | Neurology | Stroke