Internal Carotid Artery Occlusion: Management

被引：19

作者：

Saini, Harneel ^{[1
]}

Cerejo, Russell ^{[1
]}

Williamson, Richard ^{[2
]}

Malhotra, Konark ^{[1
]}

机构：

[1] Allegheny Hlth Network, Dept Neurol, Cerebrovasc Ctr, Pittsburgh, PA 15222 USA

[2] Allegheny Hlth Network, Dept Neurosurg, Cerebrovasc Ctr, Pittsburgh, PA USA

来源：

CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS | 2022年 / 22卷 / 07期

关键词：

Internal carotid artery; Vessel occlusion; Stroke; Recanalization; INTRAVENOUS THROMBOLYSIS; CEREBRAL-ARTERY; ISCHEMIC-STROKE; ENDARTERECTOMY; PREVENTION; THERAPY;

D O I：

10.1007/s11910-022-01201-x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Purpose of Review Acute internal carotid artery occlusion (ICAO) is associated with high rates of morbidity and mortality, whereas chronic ICAO can present insidiously with recurrent strokes. In this review, we discuss the medical and surgical management approaches among patients with acute, subacute, and chronic ICAO. Recent Findings We reviewed the recent literature regarding clinical presentation of acute and chronic cases of ICAO, and discuss the current data, accepted guidelines, and prospects. Surgical, endovascular, or a combination (hybrid) revascularization has been shown to be effective in recanalization with improved functional outcomes in patients with ICAO in comparison to systemic thrombolysis or medical therapy alone. Future prospective or randomized clinical trials are warranted to elucidate the procedural superiority for revascularization of patients with ICAO.

引用

页码：383 / 388

页数：6

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