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Controversies in Neurology
October 2001

Angioplasty and Stenting for Primary Treatment of Intracranial Arterial Stenoses

Author Affiliations

From the Comprehensive Stroke Center, University of Alabama at Birmingham.

 

JOHN N.WHITAKERMD

Arch Neurol. 2001;58(10):1687-1690. doi:10.1001/archneur.58.10.1687

THE DEMONSTRATION of the effectiveness of carotid endarterectomy for the prevention of stroke in patients with stenotic atherosclerotic lesions that are surgically accessible1,2 leaves open the question of what to do about those patients or lesions that are not suitable for surgical intervention. For hemodynamically significant lesions located in the intracranial cavity, optimal management is unclear. It is our opinion that endovascular therapy (ie, balloon angioplasty and stenting) must be considered as a primary option for treatment of these patients.

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