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KMID : 1142120170190020143
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Journal of Stroke
2017 Volume.19 No. 2 p.143 ~ p.151
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Diagnostic and Therapeutic Strategies for Acute Intracranial Atherosclerosis-related Occlusions
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Lee Jin-Soo
Hong Ji-Man
Kim Jong-S.
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Abstract
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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.
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KEYWORD
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Intracranial arteriosclerosis, Intracranial thrombosis, Intracranial embolism, Endovascular procedures, Diagnosis, Therapy
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