MET - 28 - Intracranial Atheromatous Stenosis - Deep Dive Podcast скачать в хорошем качестве

MET - 28 - Intracranial Atheromatous Stenosis - Deep Dive Podcast

Mastering Endovascular Techniques Chapter 28 Intracranial Atheromatous Stenosis This video serves as an overview of Intracranial Atheromatous Stenosis (ICAS), a major global cause of stroke characterised by the narrowing of arteries within the brain. It utilises a real-world illustrative case of a patient with recurring strokes to highlight the limitations of standard intensive medical management and the necessity of alternative interventions. The authors synthesise data from major clinical trials, such as SAMMPRIS and CASSISS, to explain why percutaneous transluminal angioplasty and stenting (PTAS) is currently reserved only as a rescue therapy for high-risk patients who fail drug treatments. Beyond historical data, the source provides a detailed technical guide on endovascular strategies, diagnostic imaging like DSA and vessel wall imaging, and the evolving role of drug-eluting stents in improving patient outcomes. Ultimately, the text aims to clarify the delicate balance between the risks of procedural complications and the dangers of recurrent cerebrovascular ischaemia.