Diagnostic and Therapeutic Strategies for Acute Intracranial Atherosclerosis-related Occlusions
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초록
Intracranial atherosclerosis-related occlusion (ICAS-O) is frequently encountered at the time ofendovascular revascularization treatment (ERT), especially in Asian countries. However, becausebaseline 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, despitesuccessful randomized trials on ERT, results from studies examining the optimal treatment protocolin ICAS-O patients remain unclear. In this review, we describe the clinical and imaging factors thatmay possibly differentiate ICAS-O from EMB-O. We will also discuss some current hurdles fortreating ICAS-O in the hyperacute period and suggest the optimal ERT strategy for ICAS-O patients.
Abstract
Intracranial atherosclerosis-related occlusion (ICAS-O) is frequently encountered at the time ofendovascular revascularization treatment (ERT), especially in Asian countries. However, becausebaseline 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, despitesuccessful randomized trials on ERT, results from studies examining the optimal treatment protocolin ICAS-O patients remain unclear. In this review, we describe the clinical and imaging factors thatmay possibly differentiate ICAS-O from EMB-O. We will also discuss some current hurdles fortreating ICAS-O in the hyperacute period and suggest the optimal ERT strategy for ICAS-O patients.
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