期刊
JOURNAL OF STROKE
卷 24, 期 1, 页码 3-20出版社
KOREAN STROKE SOC
DOI: 10.5853/jos.2021.01375
关键词
Cerebral infarction; Intracranial embolism and thrombosis; Intracranial arteriosclerosis; Endovascular procedures; Angioplasty; Stents
This article focuses on the therapeutic considerations for endovascular treatment of ICAD-related acute LVOS. Mechanical thrombectomy is highly effective in treating embolic occlusions, while ICAD requires more pharmacological and mechanical rescue treatment.
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.
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