How to face an ICAD?
Intracranial atherosclerotic disease (ICAD) is a dynamic disease characterized by the development, progression, and complication of atherosclerotic plaques affecting major intracranial arteries. ICAD prevalence varies within population with high spread in Asian, Hispanic and African ethnicities and relatively rare manifestation among Caucasians (up to 10% of ischemic stroke) although, nevertheless, it is more common in autopsy studies Therefore, considering the distribution of the world’s population, ICAD may represent a major cause of stroke and vascular cognitive impairment globally.
Step-by-step technique and expert’s recommendation:
Can be used especially as a pre-stenting strategy:
Can be used when:
Description of the technique: size of the chosen stent should be that one of a distal part of the vessel. After the stent placement, the angioplasty with the bigger balloon in proximal part of the stent is performed. The result is two different diameters within the stent.
Its usage in intracranial arteries is limited due to potential danger with balloon overdilatation.
ICAD can be the underlying cause of large vessel occlusion in stroke patients undergoing mechanical thrombectomy and its diagnosis can be very challenging. Proper antiaggregation is crucial but whenever insufficient, you should consider stabilize the lesion with angioplasty and/or stent placement.
are necessary for technical reasons. Without them, this website may not function properly.
are necessary for specific functionality on the website. Without them, some features may be disabled.
allow us to analyse website use and to improve the visitor's experience.
allow us to personalise your experience and to send you relevant content and offers, on this website and other websites.