Large Vessel Occlusion Stroke due to Intracranial Atherosclerotic Disease: Identification, Medical and Interventional Treatment, and Outcomes

被引：63

作者：

de Havenon, Adam ^{[1
,14
]}

Zaidat, Osama O. ^{[2
]}

Amin-Hanjani, Sepideh ^{[3
]}

Nguyen, Thanh N. ^{[4
]}

Bangad, Aaron ^{[1
]}

Abbasi, Mehdi ^{[1
,5
]}

Anadani, Mohammad

Almallouhi, Eyad ^{[5
]}

Chatterjee, Rano ^{[6
]}

Mazighi, Mikael ^{[7
]}

Mistry, Eva A. ^{[8
]}

Yaghi, Shadi ^{[9
]}

Derdeyn, Colin P. ^{[10
]}

Hong, Keun-Sik ^{[11
]}

Kvernland, Alexandra ^{[12
]}

Leslie-Mazwi, Thabele M. ^{[13
]}

Al Kasab, Sami ^{[5
]}

机构：

[1] Yale Univ, Neurol, New Haven, CT USA

[2] Mercy Hlth, Neurol, Toledo, OH USA

[3] UH Cleveland Med Ctr, Neurosurg, Cleveland, OH USA

[4] Boston Med Ctr, Neurol, Boston, MA, Brazil

[5] Med Univ South Carolina, Neurol, Charleston, SC USA

[6] Washington Univ St Louis, Radiol, St Louis, MO USA

[7] Paris Cite Univ, Lariboisiere Hosp APHP NORD, Neurol, FHU Neurovasc,INSERM 1144, Paris, France

[8] Univ Cincinnati, Neurol & Rehabil Med, Cincinnati, OH USA

[9] Brown Univ, Neurol, Warren Alpert Med Sch, Providence, RI USA

[10] Carver Coll Med, Neurosurg, Iowa City, IA USA

[11] Inje Univ, Ilsan Paik Hosp, Neurol, Goyang, South Korea

[12] NYU Langone Hlth, Neurol, New York, NY USA

[13] Univ Washington, Neurol, Seattle, WA USA

[14] Yale Univ, Neurol, 15 York St, New Haven, CT 06510 USA

来源：

STROKE | 2023年 / 54卷 / 06期

基金：

美国国家卫生研究院;

关键词：

intracranial atherosclerosis; mortality; risk factors; stroke; thrombectomy; ACUTE ISCHEMIC-STROKE; HIGH-RISK PATIENTS; ENDOVASCULAR TREATMENT; BLOOD-PRESSURE; MINOR STROKE; INTRAVASCULAR ULTRASOUND; MECHANICAL THROMBECTOMY; STENT RETRIEVER; OPEN-LABEL; ASPIRIN;

D O I：

10.1161/STROKEAHA.122.040008

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Large vessel occlusion stroke due to underlying intracranial atherosclerotic disease (ICAD-LVO) is prevalent in 10 to 30% of LVOs depending on patient factors such as vascular risk factors, race and ethnicity, and age. Patients with ICAD-LVO derive similar functional outcome benefit from endovascular thrombectomy as other mechanisms of LVO, but up to half of ICAD-LVO patients reocclude after revascularization. Therefore, early identification and treatment planning for ICAD-LVO are important given the unique considerations before, during, and after endovascular thrombectomy. In this review of ICAD-LVO, we propose a multistep approach to ICAD-LVO identification, pretreatment and endovascular thrombectomy considerations, adjunctive medications, and medical management. There have been no large-scale randomized controlled trials dedicated to studying ICAD-LVO, therefore this review focuses on observational studies.

引用

页码：1695 / 1705

页数：11

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