Cerebrovascular angioplasty and stenting for the prevention of stroke

被引:11
作者
Chaloupka J.C. [1 ]
Weigele J.B. [2 ]
Mangla S. [3 ]
Lesley W.S. [2 ]
机构
[1] Section of Interventional Neuroradiology, Custom Stent and Interventional Radiological Device Center, University of Iowa Hospitals and Clinics, Iowa City, IA, 52243
[2] Section of Interventional Neuroradiology, University of Iowa Hospitals and Clinics, Iowa City, IA, 52243
[3] Section of Interventional Neuroradiology, College of Physicians and Surgeons of Columbia University, New York, NY, 10032
关键词
Basilar Artery; Abciximab; Carotid Endarterectomy; Carotid Artery Stenting; Carotid Artery Stenosis;
D O I
10.1007/s11910-001-0076-9
中图分类号
学科分类号
摘要
Until recently, stroke preventive strategies have focused on either medical regimens aimed at antagonizing or reversing atherosclerosis, or surgical intervention for revascularization of the cerebrovascular system. However, with the advent of rapidly emerging microcatheterization techniques and technology, endovascular surgical revascularization of the brain is rapidly emerging as a powerful therapeutic modality. In particular, significant advances already have been made in revascularization of the extracranial carotid artery and many common anatomic sites of intracranial athero-occlusive disease, using special adaptations of conventional percutaneous angioplasty and stenting techniques. This paper reviews the cumulative experience with these emerging techniques, with a particular emphasis on clinical outcomes and future directions. It also reports the substantial cumulative institutional experience of the authors over the past 18 months with both extracranial carotid and intracranial artery stent-assisted carotid angioplasty.
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收藏
页码:39 / 53
页数:14
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