Endovascular Treatment of Large Vessel Occlusion Strokes Due to Intracranial Atherosclerotic Disease

被引：72

作者：

Lee, Jin Soo ^{[1
]}

Lee, Seong-Joon ^{[1
]}

Hong, Ji Man ^{[1
]}

Alverne, Francisco Jose Arruda Mont ^{[2
]}

Lima, Fabricio Oliveira ^{[3
]}

Nogueira, Raul G. ^{[4
]}

机构：

[1] Ajou Univ, Ajou Univ Hosp, Dept Neurol, Sch Med, Suwon, South Korea

[2] Hosp Geral Fortaleza, Intervent Neuroradiol Serv, Fortaleza, Ceara, Brazil

[3] Hosp Geral Fortaleza, Neurol Serv, Fortaleza, Ceara, Brazil

[4] Univ Pittsburg, UPMC Stroke Inst, Dept Neurol & Neurosurg, Med Ctr, C-400 PUH,200 Lothrop St, Pittsburgh, PA 15213 USA

来源：

JOURNAL OF STROKE | 2022年 / 24卷 / 01期

关键词：

Cerebral infarction; Intracranial embolism and thrombosis; Intracranial arteriosclerosis; Endovascular procedures; Angioplasty; Stents; ACUTE ISCHEMIC-STROKE; PERCUTANEOUS CORONARY INTERVENTION; TRUNCAL-TYPE OCCLUSION; MECHANICAL THROMBECTOMY; RESCUE TREATMENT; INTRAVENOUS THROMBOLYSIS; UNDERSIZED ANGIOPLASTY; ANTIPLATELET THERAPY; PRACTICE GUIDELINES; ARTERY-OCCLUSION;

D O I：

10.5853/jos.2021.01375

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Mechanical thrombectomy (MT) has become the gold-standard for patients with acute large vessel occlusion strokes (LVOS). MT is highly effective in the treatment of embolic occlusions; however, underlying intracranial atherosclerotic disease (ICAD) represents a therapeutic challenge, often requiring pharmacological and/or mechanical rescue treatment. Glycoprotein IIb/IIIa inhibitors have been suggested as the best initial approach, if reperfusion can be achieved after thrombectomy, with angioplasty and/or stenting being reserved for the more refractory cases. In this review, we focus on the therapeutic considerations surrounding the endovascular treatment of ICAD-related acute LVOS.

引用

页码：3 / 20

页数：18

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