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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Endovascular management of intracranial atherosclerosis

Mohamed S Teleb1, Kaiz Asif1, Alicia C Castonguay1

  • 1Division of Neurointervention, Department of Neurology, Froedtert Hospital and Medical College of Wisconsin, 9200 West Wisconsin Ave, Milwaukee, WI 53226, USA.

Neurosurgery Clinics of North America
|July 5, 2014
PubMed

Insights

Intracranial atherosclerotic disease (ICAD) is a common cause of ischemic stroke. This review covers endovascular therapy options for high-risk ICAD patients, offering insights beyond standard medical treatment.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Interventional Neurology

Background:

  • Intracranial atherosclerotic disease (ICAD) is a leading cause of ischemic stroke globally.
  • ICAD is associated with a high risk of recurrent stroke, necessitating effective treatment strategies.

Purpose of the Study:

  • To review current endovascular treatment options for ICAD.
  • To highlight recent literature on the management of ICAD.

Main Methods:

  • Literature review of endovascular therapies for ICAD.
  • Analysis of recent studies on stroke risk reduction in ICAD patients.

Main Results:

  • Medical therapy is effective but may not suffice for all high-risk ICAD patients.
  • Endovascular therapy offers a potential benefit for select high-risk ICAD individuals.

Conclusions:

  • Endovascular approaches are evolving for ICAD management.
  • Further research is needed to optimize treatment for ICAD patients with high stroke recurrence risk.

Keywords:
AngioplastyEndovascularIntracranial atherosclerotic diseasePercutaneous transluminal angioplasty and stentingStenosisStentingStroke

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