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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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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DOI: https://doi.org/10.1007/s11910-022-01201-x