Treatment Strategies for Acute Ischemic Stroke Caused by Carotid Artery Occlusion
Open Access
- 28 June 2016
- journal article
- review article
- Published by S. Karger AG in Interventional Neurology
- Vol. 5 (3-4), 148-156
- https://doi.org/10.1159/000445304
Abstract
Background: Acute ischemic stroke caused by internal carotid artery (ICA) occlusion usually has a poor prognosis, especially the T occlusion cases without functional collaterals. The efficacy of intravenous (IV) or intra-arterial (IA) thrombolysis with recombinant tissue plasminogen activator (rt-PA) remains ambiguous in these patients. Eendovascular recanalization of the occluded carotid has been attempted in recent years as a potential strategy. However, the different etiologies of ICA occlusion pose a significant challenge to neurointerventionists. Recently, several endovascular evolvements have been reported in treating carotid occlusion-related stroke. This review summarizes the current status of treatment for acute ICA occlusion.Keywords
This publication has 38 references indexed in Scilit:
- Intravenous Thrombolysis and Endovascular Therapy for Acute Ischemic Stroke With Internal Carotid Artery OcclusionStroke, 2012
- Management of tandem occlusion stroke with endovascular therapyNeurosurgical Focus, 2012
- Systemic Thrombolysis in Patients With Acute Ischemic Stroke and Internal Carotid ARtery OcclusionStroke, 2012
- Carotid Artery Stenting in Acute StrokeJournal of the American College of Cardiology, 2011
- The Benefits of Intravenous Thrombolysis Relate to the Site of Baseline Arterial Occlusion in the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET)Stroke, 2010
- Intra-Arterial Thrombolysis of Occluded Middle Cerebral Artery by Use of Collateral Pathways in Patients with Tandem Cervical Carotid Artery/Middle Cerebral Artery OcclusionAmerican Journal of Neuroradiology, 2008
- Site of Arterial Occlusion Identified by Transcranial Doppler Predicts the Response to Intravenous Thrombolysis for StrokeStroke, 2007
- Tandem Internal Carotid Artery/Middle Cerebral Artery OcclusionStroke, 2006
- Predictors of Early Arterial Reocclusion After Tissue Plasminogen Activator-Induced Recanalization in Acute Ischemic StrokeStroke, 2005
- Response to Intra-Arterial and Combined Intravenous and Intra-Arterial Thrombolytic Therapy in Patients With Distal Internal Carotid Artery OcclusionStroke, 2002