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Internal Carotid Artery Occlusion: Management

  • Stroke (B. Ovbiagele, Section Editor)
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Abstract

Purpose of Review

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.

Recent Findings

We reviewed the recent literature regarding clinical presentation of acute and chronic cases of ICAO, and discuss the current data, accepted guidelines, and prospects.

Summary

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.

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Author information

Authors and Affiliations

  1. Department of Neurology, Cerebrovascular Center, Allegheny Health Network, Pittsburgh, PA, USA

    Harneel Saini, Russell Cerejo & Konark Malhotra

  2. Department of Neurosurgery, Cerebrovascular Center Allegheny Health Network, Pittsburgh, PA, USA

    Richard Williamson

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  1. Harneel Saini
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  2. Russell Cerejo
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  4. Konark Malhotra
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Correspondence to Konark Malhotra.

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Saini, H., Cerejo, R., Williamson, R. et al. Internal Carotid Artery Occlusion: Management. Curr Neurol Neurosci Rep 22, 383–388 (2022). https://doi.org/10.1007/s11910-022-01201-x

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