Introduction Atherosclerosis and moyamoya disease (MMD) are the two most common forms of intracranial occlusive disease. In this chapter, we discuss endovascular options for the treatment of intracranial atherosclerotic disease (ICAD) and MMD. Approximately 8% to 10% of ischemic strokes…
Clinical Pearls Stroke has been one of the leading causes of mortality and serious long-term disability. Timely treatment of patients with acute ischemic stroke can drastically change the outcomes. Endovascular treatment has become an important treatment modality for acute ischemic…
Acknowledgments We thank Paul H. Dressel BFA for research assistance on the illustrations and Debra J. Zimmer for editorial assistance. Pearls Endovascular techniques are practiced in four different settings in the treatment of iAVMs, each with an associated goal: adjunctive…
Pearls Aneurysms associated with iAVMs constitute a heterogeneous group with different risk profiles that must be taken into account when considering management options. In cases of hemorrhagic presentation, determining the source of hemorrhage (i.e., aneurysm vs iAVM) is crucial. Distal…
Key Points The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) demonstrated higher risk of stroke with carotid angioplasty and stenting (CAS) and higher risk of myocardial infarction with carotid endarterectomy (CEA). Age, sex, lesion morphology, lesion location, and aortic arch…
Abbreviations and Acronyms ASPECTS, Alberta Stroke Program Early CT Score; ASTER, Contact Aspiration vs. Stent Retriever for Successful Revascularization; CAST, Committee on Subspecialty Training; COMPASS, Comparison of Direct Aspiration vs. Stent Retriever as a First Approach; CPSSS, Cincinnati Prehospital Stroke…
Stroke is the third leading cause of death and the most common cause of long-term neurologic disability worldwide. Each year, 795,000 Americans suffer a stroke, of which 80% are ischemic. Carotid atherosclerotic disease is implicated in 15% to 30% of…
Despite expanding research and advancements in medical care, there are approximately 610,000 new first-attack strokes in the United States every year, resulting in nearly 136,000 deaths and adding to the total of 6.4 million Americans as stroke survivors. Of all…