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Updated: Aug 19, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Current endovascular treatment options for intracranial carotid artery atherosclerosis
Ricardo J Komotar1, J Mocco, David A Wilson
1Department of Neurological Surgery, Columbia University, New York, New York 10032, USA.
Insights
Intracranial atherosclerosis, a common cause of stroke, is now effectively treated with endovascular methods like angioplasty and stenting, particularly for the internal carotid artery. These advanced techniques offer favorable outcomes when managed with expertise.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Cardiology
Background:
- Intracranial atherosclerosis is a significant cause of stroke.
- Traditional medical management has limitations.
- Endovascular techniques represent a major advancement.
Purpose of the Study:
- To review endovascular treatment for intracranial atherosclerosis.
- Focus on angioplasty with stent placement in the internal carotid artery.
- Evaluate outcomes and management strategies.
Main Methods:
- Review of relevant studies on endovascular treatment.
- Focus on angioplasty and stenting procedures.
- Analysis of internal carotid artery interventions.
Main Results:
- Endovascular methods have revolutionized treatment.
- Angioplasty with stenting is a viable option for internal carotid artery atherosclerosis.
- Favorable outcomes are achievable.
Conclusions:
- Endovascular treatment, including angioplasty and stenting, is effective for intracranial atherosclerosis.
- Multidisciplinary approaches enhance patient outcomes.
- Continued experience will further refine treatment strategies.
Abstract:
A substantial number of strokes are caused by intracranial atherosclerosis, a disease that traditionally has been treated medically. Recent technological advancements, however, have revolutionized the treatment of this condition by enabling the use of endovascular methods. In this paper the authors focus on the internal carotid artery, and review relevant studies concerning angioplasty with stent placement for the management of intracranial atherosclerosis in this vessel. With continued experience and a multidisciplinary approach in the evaluation of these patients, favorable outcomes may be achieved.
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