Current endovascular treatment options for intracranial carotid artery atherosclerosis

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A substantial number of strokes are caused by intracranial atherosclerosis, a disease that traditionally has been treated medically. Recent technological advancements, however, have revolutionized the treatment of this condition by enabling the use of endovascular methods. In this paper the authors focus on the internal carotid artery, and review relevant studies concerning angioplasty with stent placement for the management of intracranial atherosclerosis in this vessel. With continued experience and a multidisciplinary approach in the evaluation of these patients, favorable outcomes may be achieved.

Abbreviation used in this paper:ICA = internal carotid artery.

A substantial number of strokes are caused by intracranial atherosclerosis, a disease that traditionally has been treated medically. Recent technological advancements, however, have revolutionized the treatment of this condition by enabling the use of endovascular methods. In this paper the authors focus on the internal carotid artery, and review relevant studies concerning angioplasty with stent placement for the management of intracranial atherosclerosis in this vessel. With continued experience and a multidisciplinary approach in the evaluation of these patients, favorable outcomes may be achieved.

Abbreviation used in this paper:ICA = internal carotid artery.

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Contributor Notes

Address reprint requests to: Philip M. Meyers, M.D., Columbia University College of Physicians and Surgeons, Neurological Institute of New York, 710 West 168th Street, Room 423, New York, New York 10032. email: pmm2002@columbia.edu.

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