Use of quantitative magnetic resonance angiography in patients with symptomatic intracranial arterial stenosis who undergo stenting: Presentation of three cases
10.7461/jcen.2021.E2020.10.005
- Author:
Yafell SERULLE
1
;
Deepak KHATRI
;
Heustein SY
;
Srinivasu YERNENI
;
David LANGER
;
Rafael ORTIZ
Author Information
1. Department of Neurosurgery, Lenox Hill Hospital, New York, NY, USA
- Publication Type:Case Report
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2021;23(2):136-144
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intracranial atherosclerotic disease (ICAD) is an important cause of ischemic stroke. The etiology of stroke in patients with ICAD could be due to several mechanisms including hypoperfusion, artery-to-artery embolism, and plaque extension over small penetrating artery ostia. Management of symptomatic ICAD includes medical and endovascular management. Quantitative magnetic resonance angiography (MRA) is a technique that allows for non-invasive measurement of large vessel blood flow in the head and neck. Here, we describe procedural and clinical outcomes on three patients who presented with symptomatic ICAD and were treated with angioplasty and stenting. Quantitative MRA was used pre- and post- procedurally to assess the effects of stenting on the intracranial blood flow. Quantitative measures of intracranial blood flow may serve as an additional triage tool in the evaluation of patients with symptomatic ICAD.
