Endovascular Treatment of Large Vessel Occlusion Strokes Due to Intracranial Atherosclerotic Disease
- Author:
Jin Soo LEE
1
;
Seong-Joon LEE
;
Ji Man HONG
;
Francisco José Arruda Mont ALVERNE
;
Fabricio Oliveira LIMA
;
Raul G. NOGUEIRA
Author Information
- Publication Type:Review
- From:Journal of Stroke 2022;24(1):3-20
- CountryRepublic of Korea
- Language:English
- Abstract: Mechanical thrombectomy (MT) has become the gold-standard for patients with acute large vessel occlusion strokes (LVOS). MT is highly effective in the treatment of embolic occlusions; however, underlying intracranial atherosclerotic disease (ICAD) represents a therapeutic challenge, often requiring pharmacological and/or mechanical rescue treatment. Glycoprotein IIb/IIIa inhibitors have been suggested as the best initial approach, if reperfusion can be achieved after thrombectomy, with angioplasty and/or stenting being reserved for the more refractory cases. In this review, we focus on the therapeutic considerations surrounding the endovascular treatment of ICAD-related acute LVOS.
