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- W2008782020 abstract "Intracranial embolization and resultant ischemic stroke are the primary risks of carotid angioplasty and stenting. Emboli are generated in all cases of angioplasty and stenting; most of these are of little or no clinical significance. There are several other technique-related sources of emboli, most of which are preventable. There are several angiographic and clinical signs of intracranial embolus. Astub of vessel or filling defect is not reliably seen. It is important to assess the extent of these collaterals and the status of the lenticulostriate arteries arising from the proximal middle cerebral artery; they determine the time available for rescue. The first clinical indication of a problem is often a change in the patient's mental status. Focal neurological deficits will not be recognized unless serial neurological examinations are performed. Once it has been determined that an event has occurred, general supportive and monitoring measures should be undertaken. It is important to exclude recent silent infarct, as fibrinolysis is contraindicated in that setting. After this has been excluded, systemic heparinization and definitive therapy (local intracranial intra-arterial thrombolysis and/or mechanical disruption or thrombus) can be undertaken." @default.
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- W2008782020 date "2000-06-01" @default.
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- W2008782020 title "Management of stroke during carotid angioplasty and stenting" @default.
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- W2008782020 doi "https://doi.org/10.1053/tvir.2000.6439" @default.
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