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Endovascular Treatment for Acute Large Vessel Occlusion Due to Underlying Intracranial Atherosclerotic Disease.
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, Gregory W; Costalat, Vincent; Fiehler, Jens; Zaidat, Osama O; Jovin, Tudor G; Liebeskind, David S; Nguyen, Thanh N; Miao, Zhongrong.
Affiliation
  • Huo X; Cerebrovascular Disease Department, Neurological Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
  • Sun D; Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
  • Chen W; Department of Neurology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China.
  • Han H; Department of Neurology, Linyi People's Hospital, Linyi, Shandong, China.
  • Abdalkader M; Department of Radiology, Boston Medical Center, Boston, Massachusetts.
  • Puetz V; Department of Neurology, University Clinics Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany.
  • Yi T; Department of Neurology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China.
  • Wang H; Department of Neurology, Linyi People's Hospital, Linyi, Shandong, China.
  • Liu R; Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
  • Tong X; Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
  • Jia B; Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
  • Ma N; Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
  • Gao F; Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
  • Mo D; Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
  • Yan B; Department of Medicine and Neurology, Melbourne Brain Centre, Melbourne, Australia.
  • Mitchell PJ; Department of Radiology, Melbourne Brain Centre, Melbourne, Australia.
  • Leung TW; Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.
  • Yavagal DR; Departments of Neurology and Neurosurgery, Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, Florida.
  • Albers GW; Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, California.
  • Costalat V; Department of Neuroradiology, Hôpital Güi-de-Chauliac, CHU de Montpellier, Montpellier, France.
  • Fiehler J; Department of Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Zaidat OO; Department of Neuroscience, Mercy Saint Vincent Medical Center, Toledo, Ohio.
  • Jovin TG; Department of Neurology, Cooper University Hospital, Camden, New Jersey.
  • Liebeskind DS; Department of Neurology, University of California, Los Angeles, Los Angeles, California.
  • Nguyen TN; Department of Radiology, Boston Medical Center, Boston, Massachusetts.
  • Miao Z; Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Semin Neurol ; 43(3): 337-344, 2023 06.
Article in En | MEDLINE | ID: mdl-37549690
ABSTRACT
Intracranial 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.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Intracranial Arteriosclerosis / Stroke / Endovascular Procedures / Ischemic Stroke Type of study: Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limits: Humans Language: En Journal: Semin Neurol Year: 2023 Document type: Article Affiliation country: China
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Intracranial Arteriosclerosis / Stroke / Endovascular Procedures / Ischemic Stroke Type of study: Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limits: Humans Language: En Journal: Semin Neurol Year: 2023 Document type: Article Affiliation country: China