Current knowledge of large vascular occlusion due to intracranial atherosclerosis: focusing on early diagnosis

Chinese Neurosurgical Journal

He Li¹  Weilong Hua¹  Peng Liu¹  Yongxin Zhang¹  Pengfei Yang¹  Pei Liu¹  Bo Hong¹  Jianmin Liu¹  Lei Zhang¹  Zifu Li¹  Wenjin Yang¹  Yongwei Zhang²  Pengfei Xing² 

[1] Department of Neurosurgery, Changhai Hospital, Changhai Road Num. 168, 200433, Shanghai, China;Stroke Center, Changhai Hospital, Changhai Road Num. 168, 200433, Shanghai, China;Stroke Center, Changhai Hospital, Changhai Road Num. 168, 200433, Shanghai, China;

关键词: Acute ischemic stroke;    AIS;    Intracranial atherosclerosis;    ICAS;    Large vascular occlusion;    LVO;    Diagnosis;    ICAS-LVO;   

DOI  :  10.1186/s41016-020-00213-1

来源: Springer

【 摘 要 】

Intracranial atherosclerosis (ICAS)-related large vascular occlusion (LVO) was an intractable subtype of acute ischemic stroke (AIS), which always needed rescue angioplasty and stenting and complicated the procedure of endovascular recanalization. Diagnosing ICAS-LVO accurately and early was helpful for both clinical treatment and trials. Digital subtraction angiography (DSA) was unable to provide an early and rapid diagnosis of ICAS-LVO based on current studies. A variety of pre-DSA methods had been used to distinguish ICAS-LVO with other subtypes of ischemic stroke, such as medical histories, clinical presentations, computed tomography or angiography (CT/CTA), and magnetic resonance imaging (MRI/MRA). This article briefly reviewed the status quo of the diagnosis and treatment of ICAS-LVO and summarized early diagnostic methods of ICAS-LVO from different aspects.

【 授权许可】

CC BY