Internal Carotid Artery Occlusion: Management

Autor:	Harneel Saini, Russell Cerejo, Richard Williamson, Konark Malhotra
Rok vydání:	2022
Předmět:	Stroke Treatment Outcome General Neuroscience Humans Carotid Stenosis Neurology (clinical) Carotid Artery Internal Retrospective Studies
Zdroj:	Current Neurology and Neuroscience Reports. 22:383-388
ISSN:	1534-6293 1528-4042
DOI:	10.1007/s11910-022-01201-x
Popis:	Acute internal carotid artery occlusion (ICAO) is associated with high rates of morbidity and mortality, whereas chronic ICAO can present insidiously with recurrent strokes. In this review, we discuss the medical and surgical management approaches among patients with acute, subacute, and chronic ICAO.We reviewed the recent literature regarding clinical presentation of acute and chronic cases of ICAO, and discuss the current data, accepted guidelines, and prospects. Surgical, endovascular, or a combination (hybrid) revascularization has been shown to be effective in recanalization with improved functional outcomes in patients with ICAO in comparison to systemic thrombolysis or medical therapy alone. Future prospective or randomized clinical trials are warranted to elucidate the procedural superiority for revascularization of patients with ICAO.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::165c295662efd182811aeaeca7e2cee1 https://doi.org/10.1007/s11910-022-01201-x Zobrazit plný text záznamu Full text from SpringerLink