Diagnostic and Therapeutic Strategies for Acute Intracranial Atherosclerosis-related Occlusions

Journal of Stroke

Ji Man Hong¹  Jin Soo Lee¹  Jong S. Kim² 

[1] Department of Neurology, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea;Department of Neurology, Asan Medical Center, University of Ulsan, Seoul, Korea;

关键词: intracranial arteriosclerosis;    intracranial thrombosis;    intracranial embolism;    endovascular procedures;    diagnosis;    therapy;   

DOI  :  10.5853/jos.2017.00626

来源: DOAJ

【 摘 要 】

Intracranial atherosclerosis-related occlusion (ICAS-O) is frequently encountered at the time of endovascular revascularization treatment (ERT), especially in Asian countries. However, because baseline angiographic findings are similar between ICAS-O and embolism-related occlusion (EMB-O), it is difficult to differentiate the etiologies before the ERT procedure. Moreover, despite successful randomized trials on ERT, results from studies examining the optimal treatment protocol in ICAS-O patients remain unclear. In this review, we describe the clinical and imaging factors that may possibly differentiate ICAS-O from EMB-O. We will also discuss some current hurdles for treating ICAS-O in the hyperacute period and suggest the optimal ERT strategy for ICAS-O patients.

【 授权许可】

Unknown