Endovascular management of intracranial atherosclerosis

Mohamed S Teleb; Kaiz Asif; Alicia C Castonguay; Osama O Zaidat

doi:10.1016/j.nec.2014.04.014

Endovascular management of intracranial atherosclerosis

Neurosurg Clin N Am. 2014 Jul;25(3):593-605. doi: 10.1016/j.nec.2014.04.014. Epub 2014 May 28.

Authors

Mohamed S Teleb¹, Kaiz Asif¹, Alicia C Castonguay¹, Osama O Zaidat²

Affiliations

¹ Division of Neurointervention, Department of Neurology, Froedtert Hospital and Medical College of Wisconsin, 9200 West Wisconsin Ave, Milwaukee, WI 53226, USA.
² Division of Neurointervention, Department of Neurology, Froedtert Hospital and Medical College of Wisconsin, 9200 West Wisconsin Ave, Milwaukee, WI 53226, USA. Electronic address: [email protected].

PMID: 24994093
DOI: 10.1016/j.nec.2014.04.014

Abstract

Intracranial atherosclerotic disease (ICAD) represents one of the most common causes of ischemic stroke worldwide, yet our understanding remains limited regarding the best treatment options for this complex disease with a high recurrence rate of stroke. Although medical therapy has proved to be effective in lowering the risk of stroke, certain high-risk ICAD patients may derive benefit from endovascular therapy. This review presents the current treatment options for the endovascular management of ICAD and highlights the recent relevant literature.

Keywords: Angioplasty; Endovascular; Intracranial atherosclerotic disease; Percutaneous transluminal angioplasty and stenting; Stenosis; Stenting; Stroke.

Publication types

Review

MeSH terms

Angioplasty, Balloon*
Brain Ischemia / diagnosis*
Brain Ischemia / etiology
Brain Ischemia / therapy*
Endovascular Procedures
Humans
Intracranial Arteriosclerosis / complications
Intracranial Arteriosclerosis / diagnosis*
Intracranial Arteriosclerosis / therapy*
Risk Factors
Stents
Stroke / diagnosis*
Stroke / etiology
Stroke / therapy*