Rescue Endovascular Treatment for Emergent Large Vessel Occlusion With Underlying Intracranial Atherosclerosis: Current State and Future Directions

Intracranial atherosclerosis (ICAS) is one of the most common causes of stroke worldwide and is associated with high risk of stroke recurrence. While the most common clinical presentation is acute–subacute transient ischemic attack or ischemic stroke, occasionally, patients with underlying ICAS pres...

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Autores principales: Al Kasab, Sami, Almallouhi, Eyad, Spiotta, Alejandro M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573125/
https://www.ncbi.nlm.nih.gov/pubmed/34759882
http://dx.doi.org/10.3389/fneur.2021.734971
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author Al Kasab, Sami
Almallouhi, Eyad
Spiotta, Alejandro M.
author_facet Al Kasab, Sami
Almallouhi, Eyad
Spiotta, Alejandro M.
author_sort Al Kasab, Sami
collection PubMed
description Intracranial atherosclerosis (ICAS) is one of the most common causes of stroke worldwide and is associated with high risk of stroke recurrence. While the most common clinical presentation is acute–subacute transient ischemic attack or ischemic stroke, occasionally, patients with underlying ICAS present with acute occlusion of the affected vessel. Diagnosis and endovascular management of ICAS-related emergent large vessel occlusion (ELVO) can be challenging. Herein, we review the current evidence supporting endovascular management of ICAS-related ELVO and discuss future directions.
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spelling pubmed-85731252021-11-09 Rescue Endovascular Treatment for Emergent Large Vessel Occlusion With Underlying Intracranial Atherosclerosis: Current State and Future Directions Al Kasab, Sami Almallouhi, Eyad Spiotta, Alejandro M. Front Neurol Neurology Intracranial atherosclerosis (ICAS) is one of the most common causes of stroke worldwide and is associated with high risk of stroke recurrence. While the most common clinical presentation is acute–subacute transient ischemic attack or ischemic stroke, occasionally, patients with underlying ICAS present with acute occlusion of the affected vessel. Diagnosis and endovascular management of ICAS-related emergent large vessel occlusion (ELVO) can be challenging. Herein, we review the current evidence supporting endovascular management of ICAS-related ELVO and discuss future directions. Frontiers Media S.A. 2021-10-25 /pmc/articles/PMC8573125/ /pubmed/34759882 http://dx.doi.org/10.3389/fneur.2021.734971 Text en Copyright © 2021 Al Kasab, Almallouhi and Spiotta. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Al Kasab, Sami
Almallouhi, Eyad
Spiotta, Alejandro M.
Rescue Endovascular Treatment for Emergent Large Vessel Occlusion With Underlying Intracranial Atherosclerosis: Current State and Future Directions
title Rescue Endovascular Treatment for Emergent Large Vessel Occlusion With Underlying Intracranial Atherosclerosis: Current State and Future Directions
title_full Rescue Endovascular Treatment for Emergent Large Vessel Occlusion With Underlying Intracranial Atherosclerosis: Current State and Future Directions
title_fullStr Rescue Endovascular Treatment for Emergent Large Vessel Occlusion With Underlying Intracranial Atherosclerosis: Current State and Future Directions
title_full_unstemmed Rescue Endovascular Treatment for Emergent Large Vessel Occlusion With Underlying Intracranial Atherosclerosis: Current State and Future Directions
title_short Rescue Endovascular Treatment for Emergent Large Vessel Occlusion With Underlying Intracranial Atherosclerosis: Current State and Future Directions
title_sort rescue endovascular treatment for emergent large vessel occlusion with underlying intracranial atherosclerosis: current state and future directions
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573125/
https://www.ncbi.nlm.nih.gov/pubmed/34759882
http://dx.doi.org/10.3389/fneur.2021.734971
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