Related Experiment Video

Updated: Aug 24, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Intracranial angioplasty and stent placement for cerebral atherosclerosis

H Christian Schumacher1, Alexander V Khaw, Philip M Meyers

  • 1Doris and Stanley Tananbaum Stroke Center, Neurological Institute, New York-Presbyterian Hospital, College of Physicians & Surgeons, Columbia University, 710 West 168th Street, New York, NY 10032, USA.

Journal of Vascular and Interventional Radiology : JVIR
|April 23, 2004
PubMed

Insights

Intracranial atherosclerotic stenoses cause 8-10% of ischemic strokes. For patients unresponsive to medical therapy, angioplasty with stent placement offers a viable option to prevent severe stroke.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Interventional Cardiology

Background:

  • Intracranial atherosclerotic stenoses (ICAS) contribute significantly to ischemic stroke incidence.
  • A notable proportion of patients with ICAS do not achieve optimal outcomes with current best medical management.

Purpose of the Study:

  • To review the pathophysiology of ICAS.
  • To discuss the role and considerations for endovascular revascularization in managing ICAS.

Main Methods:

  • Literature review of pathophysiologic concepts related to ICAS.
  • Analysis of endovascular treatment strategies for ICAS.

Main Results:

  • ICAS accounts for 8-10% of all ischemic strokes.
  • Medical treatment failure necessitates alternative strategies.

Conclusions:

  • Endovascular revascularization, including angioplasty with stent placement, is a reasonable therapeutic option for select patients with ICAS.
  • Understanding pathophysiologic mechanisms is crucial for successful endovascular intervention.

Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...