Influence of angioplasty and stenting on intracranial artery stenosis: preliminary results of high-resolution vessel wall imaging evaluation

Wu, Chia‐Hung; Chung, Chih‐Ping; Chen, Ting-Yi; Yu, Kun; Lin, Te-Ming; Tai, Wei-An; Luo, Chao-Bao; Chang, Feng-Chi

doi:10.1007/s00330-022-09010-z

Cited by 5 publications

(3 citation statements)

References 67 publications

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“…Recently, a study showed a decrease in plaque enhancement after balloon angioplasty or drug-coated balloon angioplasty on follow-up HR-VWI, indicating plaque stabilization [ 64 ]. Another study showed that reduced enhancement on early follow-up HR-VWI after balloon angioplasty and stenting could predict fewer recurrent ischemic events [ 65 ].…”

Section: Utilization Of High-resolution Vessel Wall Mr Imaging In Cli...mentioning

confidence: 99%

“…64 Another study showed that reduced enhancement on early follow-up HR-VWI after balloon angioplasty and stenting could predict fewer recurrent ischemic events. 65 In a study investigating changes in intracranial dissection, intramural hematomas began to disappear within 6 months, and most damaged walls healed within 12 months. 66 This finding provides insights into deciding whether to discontinue antiplatelet therapy, especially in young patients, who are more susceptible to intracranial dissections.…”

Section: Clinical Significance Of Follow-up Hr-vwimentioning

confidence: 99%

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Emerging Concept of Intracranial Arterial Diseases: The Role of High Resolution Vessel Wall MRI

Kang,

Kim,

Kim

et al. 2024

J Stroke

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Intracranial arterial disease (ICAD) is a heterogeneous condition characterized by distinct pathologies, including atherosclerosis. Advances in magnetic resonance technology have enabled the visualization of intracranial arteries using high-resolution vessel wall imaging (HR-VWI). This review summarizes the anatomical, embryological, and histological differences between the intracranial and extracranial arteries. Next, we review the heterogeneous pathophysiology of ICAD, including atherosclerosis, moyamoya or RNF213 spectrum disease, intracranial dissection, and vasculitis. We also discuss how advances in HR-VWI can be used to differentiate ICAD etiologies. We emphasize that one should consider clinical presentation and timing of imaging in the absence of pathology-radiology correlation data. Future research should focus on understanding the temporal profile of HR-VWI findings and developing quantitative interpretative approaches to improve the decision-making and management of ICAD.

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Section: Utilization Of High-resolution Vessel Wall Mr Imaging In Cli...mentioning

confidence: 99%

Section: Clinical Significance Of Follow-up Hr-vwimentioning

confidence: 99%

Emerging Concept of Intracranial Arterial Diseases: The Role of High Resolution Vessel Wall MRI

Kang,

Kim,

Kim

et al. 2024

J Stroke

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“…As mentioned in their published work in European Radiology, Wu et al [7] measured the imaging changes on HR-VWI in patients before and after PTAS and evaluated their associations with the postoperative clinical outcome within one year. In the study, 24 SICAS patients (14 for atherosclerosis and 10 for dissection) undergoing PTAS with Wingspan Stent were included and had a one-year followup.…”

mentioning

confidence: 99%

Editorial comment: Changes in high-resolution vessel wall imaging features before and after PTAS for severe intracranial artery stenosis: predicting clinical outcomes within one year

Shao

Sun

2022

Eur Radiol

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Unlocking insights on high‐resolution vessel wall imaging's role in acute ischemic stroke management: A case series and review of literature

Haradwala,

Mahmoud,

Isufi

et al. 2024

Clinical Neuroimaging

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The application of vessel wall imaging (VWI) MRI technique has emerged as a valuable tool in characterizing atherosclerotic plaques within both stenotic and non‐stenotic vessels. In this case series, we focused on the clinical‐radiologic correlation for a series of patients presenting with acute ischemic stroke (AIS) who underwent VWI. Eight patients with AIS within the anterior and posterior circulation underwent further comprehensive evaluation with high‐resolution VWI. Through meticulous examination of plaque morphology and enhancement patterns on VWI, we gleaned invaluable insights into identifying high‐risk plaques. These high‐risk plaques, such as ruptured or ulcerative lesions, significantly elevate the potential risk of developing AIS. By stratifying atherosclerotic plaques using VWI, we can tailor treatment strategies to individual patients. This tailored approach may involve a combination of different medications, endovascular therapy, or follow‐up with conventional cerebral angiography. Overall, our findings underscore the importance of VWI in guiding personalized treatment decisions and improving patient outcomes in AIS management.

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Influence of angioplasty and stenting on intracranial artery stenosis: preliminary results of high-resolution vessel wall imaging evaluation

Cited by 5 publications

References 67 publications

Emerging Concept of Intracranial Arterial Diseases: The Role of High Resolution Vessel Wall MRI

Emerging Concept of Intracranial Arterial Diseases: The Role of High Resolution Vessel Wall MRI

Editorial comment: Changes in high-resolution vessel wall imaging features before and after PTAS for severe intracranial artery stenosis: predicting clinical outcomes within one year

Unlocking insights on high‐resolution vessel wall imaging's role in acute ischemic stroke management: A case series and review of literature

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