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Internal Carotid Artery Stenting for Intracranial Atherosclerosis
- Source :
- Methodist DeBakey Cardiovascular Journal. 10:245
- Publication Year :
- 2014
- Publisher :
- Methodist DeBakey Cardiovascular Journal, 2014.
-
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.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Ischemia
Neurovascular Diseases: Aneurysms and Arteriovenous Malformations
Neurosurgical Procedures
medicine.artery
Internal medicine
Angioplasty
medicine
Humans
cardiovascular diseases
Stroke
Coronary atherosclerosis
business.industry
Arterial stenosis
General Medicine
Intracranial Arteriosclerosis
medicine.disease
Stenosis
Bypass surgery
Cardiology
Stents
Internal carotid artery
business
Vascular Surgical Procedures
Carotid Artery, Internal
Subjects
Details
- ISSN :
- 19476108 and 19476094
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Methodist DeBakey Cardiovascular Journal
- Accession number :
- edsair.doi.dedup.....5dbf24e6e561fb3aa58726765655c462