Matches in SemOpenAlex for { <https://semopenalex.org/work/W4225295310> ?p ?o ?g. }
- W4225295310 endingPage "1056" @default.
- W4225295310 startingPage "1045" @default.
- W4225295310 abstract "Abstract Background Giant cell arteritis (GCA) is a systemic vasculitis that may cause ischemic stroke. Rarely, GCA can present with aggressive intracranial stenoses, which are refractory to medical therapy. Endovascular treatment (EVT) is a possible rescue strategy to prevent ischemic complications in intracranial GCA but the safety and efficacy of EVT in this setting are not well-described. Methods A systematic literature review was performed to identify case reports and series with individual patient-level data describing EVT for intracranial GCA. The clinical course, therapeutic considerations, and technique of seven endovascular treatments in a single patient from the authors’ experience are presented. Results The literature review identified 9 reports of 19 treatments, including percutaneous transluminal angioplasty (PTA) with or without stenting, in 14 patients (mean age 69.6 ± 6.3 years). Out of 12 patients 8 (66.7%) with sufficient data had > 1 pre-existing cardiovascular risk factor. All patients had infarction on MRI while on glucocorticoids and 7/14 (50%) progressed despite adjuvant immunosuppressive agents. Treatment was PTA alone in 15/19 (78.9%) cases and PTA + stent in 4/19 (21.1%). Repeat treatments were performed in 4/14 (28.6%) of patients (PTA-only). Non-flow limiting dissection was reported in 2/19 (10.5%) of treatments. The indications, technical details, and results of PTA are discussed in a single illustrative case. We report the novel use of intra-arterial calcium channel blocker infusion (verapamil) as adjuvant to PTA and as monotherapy, resulting in immediate improvement in cerebral blood flow. Conclusion Endovascular treatment, including PTA with or without stenting or calcium channel blocker infusion, may be effective therapies in medically refractory GCA with intracranial stenosis." @default.
- W4225295310 created "2022-05-05" @default.
- W4225295310 creator A5003496862 @default.
- W4225295310 creator A5015035013 @default.
- W4225295310 creator A5023667368 @default.
- W4225295310 creator A5029305030 @default.
- W4225295310 creator A5031925901 @default.
- W4225295310 creator A5062274814 @default.
- W4225295310 creator A5062338408 @default.
- W4225295310 creator A5068022071 @default.
- W4225295310 creator A5070060275 @default.
- W4225295310 creator A5082599393 @default.
- W4225295310 creator A5088522170 @default.
- W4225295310 creator A5090403719 @default.
- W4225295310 date "2022-05-03" @default.
- W4225295310 modified "2023-10-09" @default.
- W4225295310 title "Endovascular Therapy for Intracranial Giant Cell Arteritis" @default.
- W4225295310 cites W1553488698 @default.
- W4225295310 cites W1833598998 @default.
- W4225295310 cites W1909627890 @default.
- W4225295310 cites W1985148908 @default.
- W4225295310 cites W1987316799 @default.
- W4225295310 cites W1992238153 @default.
- W4225295310 cites W2008937420 @default.
- W4225295310 cites W2009616536 @default.
- W4225295310 cites W2022027604 @default.
- W4225295310 cites W2027784964 @default.
- W4225295310 cites W2028457973 @default.
- W4225295310 cites W2028475000 @default.
- W4225295310 cites W2029816339 @default.
- W4225295310 cites W2041969183 @default.
- W4225295310 cites W2043121342 @default.
- W4225295310 cites W2050118439 @default.
- W4225295310 cites W2064441934 @default.
- W4225295310 cites W2082276222 @default.
- W4225295310 cites W2088338523 @default.
- W4225295310 cites W2092689878 @default.
- W4225295310 cites W2101528090 @default.
- W4225295310 cites W2112032954 @default.
- W4225295310 cites W2115145575 @default.
- W4225295310 cites W2116552821 @default.
- W4225295310 cites W2126583107 @default.
- W4225295310 cites W2133889834 @default.
- W4225295310 cites W2148853356 @default.
- W4225295310 cites W2222493608 @default.
- W4225295310 cites W2305082585 @default.
- W4225295310 cites W2401216093 @default.
- W4225295310 cites W2471841098 @default.
- W4225295310 cites W2620452493 @default.
- W4225295310 cites W2732704405 @default.
- W4225295310 cites W2770582693 @default.
- W4225295310 cites W2898171140 @default.
- W4225295310 cites W2954943567 @default.
- W4225295310 cites W2962822567 @default.
- W4225295310 cites W2963274253 @default.
- W4225295310 cites W2980628359 @default.
- W4225295310 cites W3001179212 @default.
- W4225295310 cites W3016702978 @default.
- W4225295310 cites W3019082486 @default.
- W4225295310 cites W3148747979 @default.
- W4225295310 cites W3177888126 @default.
- W4225295310 cites W4229035119 @default.
- W4225295310 cites W4236070068 @default.
- W4225295310 cites W4285719527 @default.
- W4225295310 cites W75140767 @default.
- W4225295310 doi "https://doi.org/10.1007/s00062-022-01171-0" @default.
- W4225295310 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35503467" @default.
- W4225295310 hasPublicationYear "2022" @default.
- W4225295310 type Work @default.
- W4225295310 citedByCount "3" @default.
- W4225295310 countsByYear W42252953102022 @default.
- W4225295310 countsByYear W42252953102023 @default.
- W4225295310 crossrefType "journal-article" @default.
- W4225295310 hasAuthorship W4225295310A5003496862 @default.
- W4225295310 hasAuthorship W4225295310A5015035013 @default.
- W4225295310 hasAuthorship W4225295310A5023667368 @default.
- W4225295310 hasAuthorship W4225295310A5029305030 @default.
- W4225295310 hasAuthorship W4225295310A5031925901 @default.
- W4225295310 hasAuthorship W4225295310A5062274814 @default.
- W4225295310 hasAuthorship W4225295310A5062338408 @default.
- W4225295310 hasAuthorship W4225295310A5068022071 @default.
- W4225295310 hasAuthorship W4225295310A5070060275 @default.
- W4225295310 hasAuthorship W4225295310A5082599393 @default.
- W4225295310 hasAuthorship W4225295310A5088522170 @default.
- W4225295310 hasAuthorship W4225295310A5090403719 @default.
- W4225295310 hasBestOaLocation W42252953101 @default.
- W4225295310 hasConcept C126322002 @default.
- W4225295310 hasConcept C126838900 @default.
- W4225295310 hasConcept C127413603 @default.
- W4225295310 hasConcept C141071460 @default.
- W4225295310 hasConcept C2776015282 @default.
- W4225295310 hasConcept C2776712624 @default.
- W4225295310 hasConcept C2778583881 @default.
- W4225295310 hasConcept C2779134260 @default.
- W4225295310 hasConcept C2780326628 @default.
- W4225295310 hasConcept C2780645631 @default.
- W4225295310 hasConcept C2780813298 @default.
- W4225295310 hasConcept C71924100 @default.