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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Extracranial stenosis: endovascular treatment

Yince Loh1, Gary R Duckwiler

  • 1David Geffen School of Medicine at UCLA, Division of Interventional Neuroradiology, 10833 Le Conte Avenue, BL-133 CHS, Los Angeles, CA 90095, USA. yloh@mednet.ucla.edu

Neuroimaging Clinics of North America
|September 11, 2007
PubMed

Insights

Stroke, a leading cause of death, affects nearly 700,000 Americans annually. This article focuses on atherosclerotic carotid stenoses amenable to revascularization procedures.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Cardiology

Background:

  • Stroke is a major cause of death and disability in the US, with significant economic impact.
  • Atherosclerotic disease accounts for one-third of strokes, often involving extracranial locations.
  • Carotid stenoses, typically unifocal and near the carotid bulb, are a primary concern.

Purpose of the Study:

  • To review stenoses amenable to revascularization.
  • To discuss current treatment modalities for carotid artery stenosis.

Main Methods:

  • Review of current literature on carotid stenosis and revascularization.
  • Analysis of epidemiological data on stroke incidence and costs.
  • Comparison of carotid endarterectomy and carotid angioplasty/stenting procedures.

Main Results:

  • Atherosclerotic disease is a significant cause of stroke, particularly extracranial carotid stenoses.
  • Carotid endarterectomy is the more common surgical revascularization procedure.
  • Carotid angioplasty and stenting are performed less frequently.

Conclusions:

  • Understanding carotid stenoses amenable to revascularization is crucial for stroke prevention.
  • The article provides an overview of current interventional approaches.
  • Further research may optimize treatment strategies for carotid artery disease.

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