Diagnostic and Therapeutic Strategies for Acute Intracranial Atherosclerosis-related Occlusions.
- Author:
Jin Soo LEE
1
;
Ji Man HONG
;
Jong S KIM
Author Information
- Publication Type:Review
- Keywords: Intracranial arteriosclerosis; Intracranial thrombosis; Intracranial embolism; Endovascular procedures; Diagnosis; Therapy
- MeSH: Asian Continental Ancestry Group; Clinical Protocols; Diagnosis; Endovascular Procedures; Humans; Intracranial Arteriosclerosis; Intracranial Embolism; Intracranial Thrombosis
- From:Journal of Stroke 2017;19(2):143-151
- CountryRepublic of Korea
- Language:English
- 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.
