Diagnostic and Therapeutic Strategies for Acute Intracranial Atherosclerosis-related Occlusions

Intracranial atherosclerosis-related occlusion (ICAS-O) is frequently encountered at the time of endovascular revascularization treatment (ERT), especially in Asian countries. However, because baseline angiographic findings are similar between ICAS-O and embolism-related occlusion (EMB-O), it is dif...

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Bibliographic Details
Published inJournal of stroke Vol. 19; no. 2; pp. 143 - 151
Main Authors Lee, Jin Soo, Hong, Ji Man, Kim, Jong S.
Format Journal Article
LanguageEnglish
Published Korea (South) Korean Stroke Society 01.05.2017
대한뇌졸중학회
Subjects
diagnosis
endovascular procedures
intracranial arteriosclerosis
intracranial embolism
intracranial thrombosis
Special Review
therapy
신경과학
Intracranial embolism
Therapy
Intracranial thrombosis
Diagnosis
Endovascular procedures
Intracranial arteriosclerosis
Online AccessGet full text
ISSN2287-6391
1229-4101
2287-6405
DOI10.5853/jos.2017.00626

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Summary:Intracranial atherosclerosis-related occlusion (ICAS-O) is frequently encountered at the time of endovascular revascularization treatment (ERT), especially in Asian countries. However, because baseline angiographic findings are similar between ICAS-O and embolism-related occlusion (EMB-O), it is difficult to differentiate the etiologies before the ERT procedure. Moreover, despite successful randomized trials on ERT, results from studies examining the optimal treatment protocol in ICAS-O patients remain unclear. In this review, we describe the clinical and imaging factors that may possibly differentiate ICAS-O from EMB-O. We will also discuss some current hurdles for treating ICAS-O in the hyperacute period and suggest the optimal ERT strategy for ICAS-O patients.
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ISSN:2287-6391
1229-4101
2287-6405
DOI:10.5853/jos.2017.00626