The Case for Angioplasty in Patients with Symptomatic Intracranial Atherosclerosis

Frontiers in Neurology

Ryan A Mctaggart¹  Michael P Marks¹ 

[1] Stanford University School of Medicine;

关键词: Angioplasty;    Stents;    Stenosis;    Intracranial atherosclerosis;    intracranial stenosis;   

DOI  :  10.3389/fneur.2014.00036

来源: DOAJ

【 摘 要 】

Intracranial atherosclerotic disease (ICAD) is likely the most common cause of stroke worldwideand remains highly morbid even with highly monitored medical therapy.Recent results of the SAMMPRIS trial which randomized patients to stenting plus aggressive medical management versus aggressive medical management alone have shown that additional treatment of intracranial atherosclerotic lesions with the Wingspan stent is inferior to aggressive medical management alone.In light of these results there has been renewed interest in angioplasty alone to treat symptomatic ICAD. This article will briefly review the natural history of intracranial atherosclerotic disease (ICAD) and discuss the possible future for endovascular treatment of ICAD with primary intracranial angioplasty in appropriately selected patients.

【 授权许可】

Unknown