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Endovascular Treatment of Acute Stroke Due to Intracranial Atherosclerotic Stenosis–Related Large Vessel Occlusion

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Author(s)
Hyungjong ParkJang-Hyun BaekByung Moon Kim
Keimyung Author(s)
Park, Hyung Jong
Department
Dept. of Neurology (신경과학)
Journal Title
Frontiers in Neurology
Issued Date
2019
Volume
10
Keyword
acute strokelarge vessel occlusionintracranial atherosclerosisendovascular treatmentstenosis and cerebrovascular occlusion
Abstract
Endovascular treatment (EVT) has become a standard treatment for acute ischemic stroke due to large vessel occlusion (LVO) in the anterior circulation. However, whether EVT tools used for intracranial atherosclerotic stenosis (ICAS)-related LVO are as safe and effective as for use in embolic LVO remains unclear. There have been only a few studies about EVT for ICAS-related LVO, and these studies revealed that mechanical thrombectomy with a stent retriever or contact aspiration was less effective and more time consuming in ICAS-related LVO than in embolic LVO. Because fast and successful recanalization (defined as modified Thrombolysis in Cerebral Ischemia grade, 2b or 3) is the most critical factor influencing favorable outcomes, it is important to determine the appropriate EVT strategy for fast recanalization of ICAS-related LVO. In this report, we review the results of mechanical thrombectomy using stent retriever or contact aspiration and rescue treatments after failure of mechanical thrombectomy for ICAS-related LVO. Finally, we propose the EVT strategy appropriate for ICAS-related LVO based on a literature review and our experience.
Keimyung Author(s)(Kor)
박형종
Publisher
School of Medicine (의과대학)
Citation
Hyungjong Park et al. (2019). Endovascular Treatment of Acute Stroke Due to Intracranial Atherosclerotic Stenosis–Related Large Vessel Occlusion. Frontiers in Neurology, 10. doi: 10.3389/fneur.2019.00308
Type
Article
ISSN
1664-2295
Source
https://www.frontiersin.org/articles/10.3389/fneur.2019.00308/full
DOI
10.3389/fneur.2019.00308
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41990
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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