EXPORT CITATION

Chapter-15 Acute Stroke Interventions

BOOK TITLE: Neurovascular Surgical Techniques

Author
1. Yashar Parham
2. Natarajan Sabareesh K
3. Kan Peter
4. Snyder Kenneth V
5. Levy Elad I
6. Hopkins L Nelson
7. Siddiqui Adnan H
ISBN
9789350900888
DOI
10.5005/jp/books/11824_15
Edition
1/e
Publishing Year
2013
Pages
25
Author Affiliations
1. University of Southern California, Keck School of Medicine Los Angeles, California, USA
2. University at Buffalo, The State University of New York, 100 High Street, Suite B4, Buffalo, New York, USA
3. University at Buffalo, The State University of New York, 100 High Street, Suite B4, Buffalo, New York, USA
4. University at Buffalo, The State University of New York, 100 High Street, Suite B4, Buffalo, New York, USA
5. University at Buffalo Neurosurgery, Inc., Buffalo General Medical Center, 100 High Street, Suite B4, Buffalo, New York, USA
6. University at Buffalo, The State University of New York, 100 High Street, Suite B4, Buffalo, New York, USA, School of Medicine and Biomedical Sciences, Buffalo, New York, USA
7. The State University of New York, 100 High Street, Suite B-4, Buffalo, New York, USA
Chapter keywords
Acute Stroke Interventions, Carotid atherosclerotic disease, carotid endarterectomy, carotid artery stenting, acute cervical carotid occlusion, intracranial revascularization techniques, acute ischemic stroke, endovascular interventions, balloon angioplasty, laser-assisted thrombolysis, stent-assisted revascularization

Abstract

Carotid atherosclerotic disease is implicated in 15–30% all ischemic strokes. The carotid endarterectomy (CEA) or carotid artery stenting (CAS) are used for the treatment of carotid artery atherosclerosis. This chapter will be divided into two portions: CEA in the treatment of acute stroke and endovascular management with CAS of acute ischemic stroke. CEA is a surgical option for emergent revascularization of carotid artery occlusion. The main goal of endovascular interventions (CAS) is to achieve fast, sufficient and effective reperfusion along with a low rate of symptomatic intra-cranial hemorrhage (sICH). The treatment of symptomatic cervical carotid artery disease whether with CEA or CAS is not performed in the acute setting of evolving stroke. Favorable results can be achieved with revascularization of both intracranial and extracranial carotid artery occlusion with a combination of CAS and intracranial revascularization techniques.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved