ArticleAJNR. American journal of neuroradiology2021
Endovascular Recanalization of Symptomatic Nonacute Intracranial Internal Carotid Artery Occlusion: Proposal of a New Angiographic Classification.
Article in AJNR. American journal of neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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16 citing papers in PubMed, 27 citations in OpenAlex.
- Post-procedural hemodynamics by quantitative DSA predict restenosis in chronic internal carotid artery occlusion.Neuroradiology · 2026Article
- Endovascular Therapy for Non-Acute Intracranial Atherosclerotic Occlusion: A Feasible Treatment Modality, but is it Beneficial?Journal of atherosclerosis and thrombosis · 2025Article
- Association between ASPECTS region of infarction and clinical outcome in non-acute large vessel occlusion ischaemic stroke after endovascular recanalisation.Stroke and vascular neurology · 2025Article
- Staged endovascular recanalization for symptomatic atherosclerotic non-acutely occluded internal carotid artery.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- The trinity of the internal carotid artery: Unifying terminologies of the main classifications to improve its surgical understanding.Surgical neurology international · 2025Article
- Predictive factors of successful endovascular recanalization for symptomatic atherosclerotic non-acute middle cerebral artery occlusion.Frontiers in neurology · 2025Article
- Clinical Study of Symptomatic Nonacute Intracranial Large Arterial Occlusion with Endovascular Recanalization.Journal of neurological surgery. Part B, Skull base · 2024Article
- Endovascular Recanalization for Nonacute Carotid Artery Occlusion: A Nationwide Registry-Based Cohort Study.Stroke (Hoboken, N.J.) · 2024Article
- Endovascular re-canalization for symptomatic non-acute intracranial large artery occlusion: a single-center retrospective study.Quantitative imaging in medicine and surgery · 2023Article
- Predictors of successful endovascular recanalization in patients with symptomatic nonacute intracranial large artery occlusion.BMC neurology · 2023Article
- Comprehensive classifications for the endovascular recanalization of vertebral artery stump syndrome.Journal of interventional medicine · 2023Article
- Effects of endovascular recanalization on symptomatic non-acute occlusion of intracranial arteries.Scientific reports · 2023Article
- Morphological and Compositional Features of Chronic Internal Carotid Artery Occlusion in MR Vessel Wall Imaging Predict Successful Endovascular Recanalization.Diagnostics (Basel, Switzerland) · 2023Article
- Drug-Coated Balloon for the Treatment of Nonacute Symptomatic Intracranial Carotid Artery Terminus Occlusion: Initial Experience and Follow-Up Outcome.Frontiers in neurology · 2022Article
- Time correlation of success recanalization for endovascular recanalization of medically refractory non-acute intracranial arterial occlusions.Frontiers in surgery · 2022Article
- Case Report: Trigeminocardiac Reflex in Endovascular Recanalization of Intracranial Internal Carotid Artery Occlusion.Frontiers in neurology · 2022Article
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThe optimal treatment for symptomatic nonacute intracranial ICA occlusion is uncertain, and endovascular recanalization remains a technical challenge. Our purpose was to report multicenter clinical results of endovascular recanalization for medically refractory, nonacute, intracranial ICA occlusion and to propose a new angiographic classification to explore which subgroups of patients are most amenable to this treatment. MATERIALS AND
methodsFrom January 2015 to December 2019, thirty-six consecutive patients who underwent endovascular recanalization for refractory, nonacute, atherosclerotic intracranial ICA occlusion at 3 stroke centers were analyzed retrospectively. The patients were divided into 3 types according to an angiographic classification. Rates of technical success, periprocedural complications, and any stroke or death within 30 days along with follow-up results were evaluated.
resultsThe overall technical success rate was 80.6% (29/36), and the rate of any stroke or death within 30 days was 16.7% (6/36). The recanalization success rate gradually decreased from type I to type III in the 3 classification groups (92.9%, 81.3%, and 50%,
conclusionsEndovascular recanalization for nonacute atherosclerotic intracranial ICA occlusion is technically feasible, especially in patients with type I lesions, and could offer an alternative option for patients with recurrent ischemic symptoms despite aggressive medical therapy. The angiographic classification proposed is conducive to the selection of suitable patients and difficulty in grading.
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