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KMID : 1142120220240010003
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Journal of Stroke
2022 Volume.24 No. 1 p.3 ~ p.20
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Endovascular Treatment of Large Vessel Occlusion Strokes Due to Intracranial Atherosclerotic Disease
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Lee Jin-Soo
Lee Seong-Joon
Hong Ji-Man
Alverne Francisco Jose Arruda Mont’
Lima Fabricio Oliveira
Nogueira Raul G.
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Abstract
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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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KEYWORD
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Cerebral infarction, Intracranial embolism and thrombosis, Intracranial arteriosclerosis, Endovascular procedures, Angioplasty, Stents
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