Current knowledge of large vascular occlusion due to intracranial atherosclerosis: focusing on early diagnosis

• 作者: Li He Liu Peng Liu Pei Hua Weilong Yang Wenjin Zhang Yongxin Zhang Lei Xing Pengfei Li Zifu Zhang Yongwei Hong Bo Yang Pengfei Liu Jianmin
• 来源期刊: 中华神经外科杂志（英文）
• 关键词: Acute ischemic stroke AIS Intracranial atherosclerosis ICAS Large vascular occlusion LVO Diagnosis ICAS-LVO
• 年，卷（期）: 2021,（1）
• 所属期刊栏目: Review
• 页码范围: 58-67,79
• 页数: 11页
• 语种: 中文
• DOI: 10.1186/s41016-020-00213-1

摘要

Intracranial atherosclerosis (ICAS)-related large vascular occlusion (LVO) was an intractable subtype of acute ischemic stroke (AIS), which always needed rescue angioplasty and stenting and complicated the procedure of endovascular recanalization. Diagnosing ICAS-LVO accurately and early was helpful for both clinical treatment and trials. Digital subtraction angiography (DSA) was unable to provide an early and rapid diagnosis of ICAS-LVO based on current studies. A variety of pre-DSA methods had been used to distinguish ICAS-LVO with other subtypes of ischemic stroke, such as medical histories, clinical presentations, computed tomography or angiography (CT/CTA), and magnetic resonance imaging (MRI/MRA). This article briefly reviewed the status quo of the diagnosis and treatment of ICAS-LVO and summarized early diagnostic methods of ICAS-LVO from different aspects.