Interventional Management of Intracranial Stenosis
نویسندگان
چکیده
Worldwide, intracranial atherosclerosis is the most common cause of ischemic stroke and is associated with a high risk of recurrence. Endovascular therapies including angioplasty and stent implantation may help in secondary stroke prevention due to intracranial stenosis, however rigorous appraisal of clinical efficacy is currently lacking. This review aims to introduce the basic concepts involved with endovascular treatment of intracranial stenosis, its strengths and limitations, and discuss the available data. The importance of patient selection, procedural risks, patient outcomes, and surveillance goals are also highlighted.
منابع مشابه
Cost-effectiveness analysis of intracranial stent placement versus contemporary medical management in patients with symptomatic intracranial artery stenosis.
BACKGROUND Intracranial angioplasty and stent placement has been increasingly evaluated as a new method for treatment of symptomatic intracranial stenosis in select patients. The Food and Drug Administration (FDA) has approved intracranial stent treatment of symptomatic atherosclerotic intracranial lesions. PURPOSE To determine the cost-effectiveness of intracranial artery stent placement com...
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1. Qureshi AI, Feldmann E, Gomez CR, Johnston SC, Kasner SE, Quick DC, Rasmussen PA, Suri MF, Taylor RA, Zaidat OO. Intracranial atherosclerotic disease: an update. Ann Neurol 2009;66:730– 8. B. A magnetic resonance angiogram demonstrated highgrade stenosis of the left middle cerebral artery involving M1 and M2 segments (see arrows). There appears to be stenosis in the supraclinoid segment of t...
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As a means of preventing secondary ischaemic stroke, angioplasty and stenting are considered potentially beneficial for patients with severe intracranial atherosclerotic stenosis. However, the role of stenting has been challenged since the publication of the first randomised controlled trial on Stenting versus Aggressive Medical Management for Preventing Recurrent stroke in Intracranial arteria...
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