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Intracranial angioplasty and stenting for cerebral atherosclerosis: new treatments for stroke are needed!
Authors:Randall T. Higashida  Philip M. Meyers
Affiliation:(1) Division of Interventional Neurovascular Radiology, University of California, San Francisco Medical Center, 505 Parnassus Avenue, L-352, San Francisco, CA 94143-0628, USA;(2) The Neurological Institute, New York Presbyterian Hospitals, College of Physicians & Surgeons, Columbia University, 710 West 168th Street, Room 404, New York, NY 10032, USA
Abstract:
Introduction Intracranial atherosclerosis is a common cause of stroke.Intracranial angioplasty and stent revascularization Recent technological developments offer improved methods for endovascular revascularization of symptomatic and asymptomatic cerebral artery stenosis. Identification of appropriate patients remains a diagnostic challenge, and our knowledge about the natural history of the disease remains limited.Recommendations At this time, patients with significant intracranial stenosis should receive counseling on the benefits and risks of revascularization therapy. Ultimately, determination of which patients should undergo revascularization procedures will require carefully planned, randomized clinical trials.
Keywords:Cerebral atherosclerosis  Stroke  Angioplasty  Stenting  Intracranial stenosis  Transient ischemic attack
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