Indications for the Performance of Intracranial Endovascular Neurointerventional Procedures: A Scientific Statement From the American Heart Association

American Heart Association Council on Cardiovascular Radiology and Intervention and Stroke Council

Research output: Contribution to journalReview article

Abstract

Intracranial endovascular interventions provide effective and minimally invasive treatment of a broad spectrum of diseases. This area of expertise has continued to gain both wider application and greater depth as new and better techniques are developed and as landmark clinical studies are performed to guide their use. Some of the greatest advances since the last American Heart Association scientific statement on this topic have been made in the treatment of ischemic stroke from large intracranial vessel occlusion, with more effective devices and large randomized clinical trials showing striking therapeutic benefit. The treatment of cerebral aneurysms has also seen substantial evolution, increasing the number of aneurysms that can be treated successfully with minimally invasive therapy. Endovascular therapies for such other diseases as arteriovenous malformations, dural arteriovenous fistulas, idiopathic intracranial hypertension, venous thrombosis, and neoplasms continue to improve. The purpose of the present document is to review current information on the efficacy and safety of procedures used for intracranial endovascular interventional treatment of cerebrovascular diseases and to summarize key aspects of best practice.

Original languageEnglish (US)
Pages (from-to)e661-e689
JournalCirculation
Volume137
Issue number21
DOIs
StatePublished - May 22 2018

Fingerprint

Endovascular Procedures
Central Nervous System Vascular Malformations
Pseudotumor Cerebri
Cerebrovascular Disorders
Arteriovenous Malformations
Intracranial Aneurysm
Practice Guidelines
Venous Thrombosis
Aneurysm
Therapeutics
Randomized Controlled Trials
Stroke
Safety
Equipment and Supplies
Neoplasms

Keywords

  • AHA Scientific Statements
  • cerebrovascular disorders
  • embolectomy
  • intracranial aneurysm
  • intracranial arteriovenous malformations
  • intracranial atherosclerosis
  • stroke
  • therapeutic embolization

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Cite this

Indications for the Performance of Intracranial Endovascular Neurointerventional Procedures : A Scientific Statement From the American Heart Association. / American Heart Association Council on Cardiovascular Radiology and Intervention and Stroke Council.

In: Circulation, Vol. 137, No. 21, 22.05.2018, p. e661-e689.

Research output: Contribution to journalReview article

American Heart Association Council on Cardiovascular Radiology and Intervention and Stroke Council 2018, 'Indications for the Performance of Intracranial Endovascular Neurointerventional Procedures: A Scientific Statement From the American Heart Association', Circulation, vol. 137, no. 21, pp. e661-e689. https://doi.org/10.1161/CIR.0000000000000567
American Heart Association Council on Cardiovascular Radiology and Intervention and Stroke Council. / Indications for the Performance of Intracranial Endovascular Neurointerventional Procedures : A Scientific Statement From the American Heart Association. In: Circulation. 2018 ; Vol. 137, No. 21. pp. e661-e689.
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