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Chapter-13 Intracranial Occlusive Disease

BOOK TITLE: Neurovascular Surgical Techniques

Author
1. Jabbour Pascal M
2. Dumont Aaron S
3. Gonzalez L Fernando
4. Rosenwasser Robert H
5. Tjoumakaris Stavropoula I
6. Monteith Stephen J
7. Medel Ricky
8. Ali Muhammad S
9. Randazzo Ciro G
ISBN
9789350900888
DOI
10.5005/jp/books/11824_13
Edition
1/e
Publishing Year
2013
Pages
12
Author Affiliations
1. Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA
2. Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA
3. Thomas Jefferson University, 909 Walnut Street, Philadelphia, Pennsylvania, USA
4. Thomas Jefferson University Hospital, 901 Walnut Street, Philadelphia, Pennsylvania, USA
5. Thomas Jefferson University Hospital, 901 Walnut Street, Philadelphia, Pennsylvania, USA
6. Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA
7. University of Virgina Health System, Charlottesville, VA, USA
8. Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA
9. Thomas Jefferson University, Philadelphia, Pennsylvania, USA
Chapter keywords
Intracranial occlusive disease, stroke, diabetes mellitus, hypercholesterolemia, atherosclerotic, Moyamoya disease, percutaneous angioplasty, restenosis, internal cerebral arteries, encephalomyosynangiosis

Abstract

Intracranial occlusive vascular disease is an important risk factor for stroke. The incidence of this disease varies depending on the patients’ age and the presence of additional risk factors such as diabetes mellitus, hypercholesterolemia, hypertension, etc. This chapter aims to detail the management of intracranial occlusive vascular disease, including both atherosclerotic and Moyamoya disease (MMD). The changing indications for surgical and/or endovascular intervention are discussed with the various procedures used to treat this diseases. The two therapeutic interventions used to treat intracranial occlusive disease are surgical modern medical management and surgical intervention. The use of direct, indirect or a combination of both approaches depends on the patients’ individual needs.

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