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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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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Abstract 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.
AbstractList 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.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.
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.
Intracranial atherosclerosis-related occlusion (ICAS-O) is frequently encountered at the time ofendovascular revascularization treatment (ERT), especially in Asian countries. However, becausebaseline 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, despitesuccessful randomized trials on ERT, results from studies examining the optimal treatment protocolin ICAS-O patients remain unclear. In this review, we describe the clinical and imaging factors thatmay possibly differentiate ICAS-O from EMB-O. We will also discuss some current hurdles fortreating ICAS-O in the hyperacute period and suggest the optimal ERT strategy for ICAS-O patients. KCI Citation Count: 2
Author Kim, Jong S.
Hong, Ji Man
Lee, Jin Soo
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Issue 2
Keywords Intracranial embolism
Therapy
Intracranial thrombosis
Diagnosis
Endovascular procedures
Intracranial arteriosclerosis
Language English
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Snippet Intracranial atherosclerosis-related occlusion (ICAS-O) is frequently encountered at the time of endovascular revascularization treatment (ERT), especially in...
Intracranial atherosclerosis-related occlusion (ICAS-O) is frequently encountered at the time ofendovascular revascularization treatment (ERT), especially in...
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StartPage 143
SubjectTerms diagnosis
endovascular procedures
intracranial arteriosclerosis
intracranial embolism
intracranial thrombosis
Special Review
therapy
신경과학
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Title Diagnostic and Therapeutic Strategies for Acute Intracranial Atherosclerosis-related Occlusions
URI https://www.ncbi.nlm.nih.gov/pubmed/28592778
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https://pubmed.ncbi.nlm.nih.gov/PMC5466291
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Volume 19
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ispartofPNX 대한뇌졸중학회지, 2017, 19(2), 17, pp.143-151
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