{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:15:42Z","timestamp":1787238942556,"version":"build-2736575974"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr R\u00f6ntgenstr"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>Background\u2002Intracranial atherosclerotic stenosis (ICAS) causes 5\u200a\u2013\u200a10\u200a% of all ischemic strokes in the European population. Indication for endovascular treatment is a special challenge and the selection of material as well as interventional techniques essentially differs from the treatment of extracranial stenoses. According to recent studies patient selection became evidence based; however the method should not be abandoned. New technical approaches can contribute to avoid complications.<\/jats:p>\n                  <jats:p>Method\u2002We performed a review of the literature with regard to conservative as well as endovascular treatment of ICAS. Different technical approaches are discussed and strategies to avoid complications are stressed. Based on the treatment indication, the positions of the authorities and the professional societies are taken into account.<\/jats:p>\n                  <jats:p>Results and Conclusion\u2002A single self-expanding stent is approved for the treatment of ICAS.\u200aBalloon mounted and other self-expanding Stents are available for off-label use. Anatomical conditions and features of the stenosis determine the choice of material. Distal wire perforations causing intracranial bleedings may occur during exchange manoeuvres and constitute one of the technical complications in the treatment of ICAS.\u200aIn contrast, there is hardly any efficient way to eliminate the risk of ischemia in the territory of perforating arteries arising from the intracranial posterior circulation and the middle cerebral artery. The results of the randomized prospective trials strengthen the conservative treatment of ICAS.\u200aEndovascular treatment should not be withheld from patients with either hemodynamic stenosis, recurrent ischemic events under best medical treatment in the territory of the stenosed vessel or acute occlusions of a stenosis.<\/jats:p>\n                  <jats:p>Key Points:<\/jats:p>\n                  <jats:p>Citation Format<\/jats:p>","DOI":"10.1055\/a-0855-4298","type":"journal-article","created":{"date-parts":[[2019,4,4]],"date-time":"2019-04-04T18:49:35Z","timestamp":1554403775000},"page":"643-652","source":"Crossref","is-referenced-by-count":16,"title":["Endovascular Treatment of Intracranial Atherosclerotic Stenosis"],"prefix":"10.1055","volume":"191","author":[{"given":"Hannes","family":"Nordmeyer","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology and Neuroradiology, Neurocenter Solingen, radprax St. Lukas Hospital, Solingen, Germany"},{"name":"School of Medicine, Department of Health, Witten\/Herdecke University, Witten, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9","family":"Chapot","sequence":"additional","affiliation":[{"name":"Diagnostic and Interventional Radiology and Neuroradiology, Alfried-Krupp-Hospital, Essen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Haage","sequence":"additional","affiliation":[{"name":"Department of diagnostic and interventional Radiology, Helios Universitiy Hospital, Wuppertal, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,4,4]]},"container-title":["R\u00f6Fo - Fortschritte auf dem Gebiet der R\u00f6ntgenstrahlen und der bildgebenden Verfahren"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0855-4298.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T18:31:34Z","timestamp":1561573894000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0855-4298"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,4]]},"references-count":0,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2019,6,26]]},"published-print":{"date-parts":[[2019,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0855-4298","relation":{},"ISSN":["1438-9029","1438-9010"],"issn-type":[{"value":"1438-9029","type":"print"},{"value":"1438-9010","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,4]]}}}