Symptomatic isolated internal carotid artery occlusion with initial medical management: a monocentric cohort.
Adrien Ter SchiphorstNicolas GaillardCyril DargazanliIsabelle MourandLucas CortiMahmoud CharifXavier AyrignacAnaïs LippiStéphane BoulyLalu ThibaultDenis SablotGenevieve Blanchet-FourcadeNicolas LandraginVincent CostalatClaire DuflosCaroline ArquizanPublished in: Journal of neurology (2020)
Our results suggest that the prognosis of patients with acute ICAO was favorable with a medical strategy, albeit a substantial rate of FWND and recurrence. FWND was well predicted by a core-perfusion mismatch volume > 40 cc. Randomized controlled trials are necessary to assess the benefit of EVT in ICAO.