Internal carotid artery stenting for intracranial atherosclerosis

Joshua W. Osbun, Louis J. Kim

Research output: Contribution to journalReview article

5 Scopus citations

Abstract

Intracranial atherosclerotic disease is a significant cause of stroke in the United States. Much like coronary atherosclerosis, this disease leads to arterial stenosis secondary to the buildup of lipid-based plaques in intracranial vessels. Ischemic stroke may occur following thromboembolic events near the site of stenosis or from watershed ischemia secondary to cerebral hypoperfusion. While this disease has been treated with intracranial angioplasty and stenting and cerebrovascular bypass surgery, the current literature supports aggressive medical management with dual antiplatelet therapy, treatment of comorbidities such as hypertension, diabetes, and hyperlipidemia, and lifestyle modification. Intracranial angioplasty and stenting is reserved for cases of medical failure.

Original languageEnglish
Pages (from-to)245-250
Number of pages6
JournalMethodist DeBakey cardiovascular journal
Volume10
Issue number4
DOIs
StatePublished - Oct 1 2014
Externally publishedYes

Keywords

  • intracranial atherosclerosis
  • intracranial stent
  • stroke

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