Higashida Randall T, Meyers Philip M
Division of Interventional Neurovascular Radiology, University of California, San Francisco Medical Center, 505 Parnassus Avenue, L-352, San Francisco, CA 94143-0628, USA.
Neuroradiology. 2006 Jun;48(6):367-72. doi: 10.1007/s00234-006-0071-6. Epub 2006 Apr 19.
Intracranial atherosclerosis is a common cause of stroke.
Recent technological developments offer improved methods for endovascular revascularization of symptomatic and asymptomatic cerebral artery stenosis. Identification of appropriate patients remains a diagnostic challenge, and our knowledge about the natural history of the disease remains limited.
At this time, patients with significant intracranial stenosis should receive counseling on the benefits and risks of revascularization therapy. Ultimately, determination of which patients should undergo revascularization procedures will require carefully planned, randomized clinical trials.
颅内动脉粥样硬化是中风的常见病因。
近期的技术发展为有症状和无症状脑动脉狭窄的血管内血管重建提供了改进方法。确定合适的患者仍然是一项诊断挑战，而且我们对该疾病自然史的了解仍然有限。
目前，颅内严重狭窄的患者应接受关于血管重建治疗益处和风险的咨询。最终，确定哪些患者应接受血管重建手术将需要精心规划的随机临床试验。
