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Camilo R. Gomez, MD; Sean C. Orr, MD
From the Comprehensive Stroke Center, University of Alabama at Birmingham.

Corresponding author: Camilo R. Gomez, MD, Comprehensive Stroke Center, University of Alabama at Birmingham, 619 S 19th St, Birmingham, AL 35294-7340 (e-mail: crgomez@uab.edu).

Arch Neurol. 2001;58:1687-1690.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

THE DEMONSTRATION of the effectiveness of carotid endarterectomy for the prevention of stroke in patients with stenotic atherosclerotic lesions that are surgically accessible^{1, 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.

Our position is based on the following concepts: (1) intracranial stenosis is not a homogeneous process, and lesion location and severity must be taken into consideration when planning therapy; (2) in general, intracranial stenoses carry a relatively high risk for stroke, regardless of their medical treatment; and (3) technological advances and the experience of interventionalists have appreciably reduced the risk involved in . . . [Full Text of this Article]

HETEROGENEITY OF INTRACRANIAL ATHEROSCLEROTIC LESIONS


NATURAL HISTORY AND EFFECTIVENESS OF MEDICAL TREATMENT

EVOLUTION OF ENDOVASCULAR THERAPY

SUMMARY


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