Stroke Caused by Atherosclerosis of the Major Intracranial Arteries.

Abstract:

:Our goal in this review is to discuss the pathophysiology, diagnosis, and treatment of stroke caused by atherosclerosis of the major intracranial arteries. References for the review were identified by searching PubMed for related studies published from 1955 to June 2016 using search terms intracranial stenosis and intracranial atherosclerosis. Reference sections of published randomized clinical trials and previously published reviews were searched for additional references. Intracranial atherosclerotic disease is a highly prevalent cause of stroke that is associated with a high risk of recurrent stroke. It is more prevalent among blacks, Hispanics, and Asians compared with whites. Diabetes mellitus, hypertension, metabolic syndrome, smoking, hyperlipidemia, and a sedentary lifestyle are the major modifiable risk factors associated with intracranial atherosclerotic disease. Randomized clinical trials comparing aggressive management (dual antiplatelet treatment for 90 days followed by aspirin monotherapy and intensive management of vascular risk factors) with intracranial stenting plus aggressive medical management have shown medical management alone to be safer and more effective for preventing stroke. As such, aggressive medical management has become the standard of care for symptomatic patients with intracranial atherosclerotic disease. Nevertheless, there are subgroups of patients who are still at high risk of stroke despite being treated with aggressive medical management. Future research should aim to establish clinical, serological, and imaging biomarkers to identify high-risk patients, and clinical trials evaluating novel therapies should be focused on these patients.

journal_name

Circ Res

journal_title

Circulation research

authors

Banerjee C,Chimowitz MI

doi

10.1161/CIRCRESAHA.116.308441

subject

Has Abstract

pub_date

2017-02-03 00:00:00

pages

502-513

issue

3

eissn

0009-7330

issn

1524-4571

pii

CIRCRESAHA.116.308441

journal_volume

120

pub_type

杂志文章,评审
  • Genetic Deficiency of Glutathione S-Transferase P Increases Myocardial Sensitivity to Ischemia-Reperfusion Injury.

    abstract:RATIONALE:Myocardial ischemia-reperfusion (I/R) results in the generation of oxygen-derived free radicals and the accumulation of lipid peroxidation-derived unsaturated aldehydes. However, the contribution of aldehydes to myocardial I/R injury has not been assessed. OBJECTIVE:We tested the hypothesis that removal of a...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.114.305518

    authors: Conklin DJ,Guo Y,Jagatheesan G,Kilfoil PJ,Haberzettl P,Hill BG,Baba SP,Guo L,Wetzelberger K,Obal D,Rokosh DG,Prough RA,Prabhu SD,Velayutham M,Zweier JL,Hoetker JD,Riggs DW,Srivastava S,Bolli R,Bhatnagar A

    更新日期:2015-08-14 00:00:00

  • CXCL10/IP-10 is a biomarker and mediator for Kawasaki disease.

    abstract:RATIONALE:Kawasaki disease (KD), an acute febrile vasculitis, is the most common cause of acquired heart disease in childhood; however, diagnosing KD can be difficult. OBJECTIVE:To identify unique proteomic biomarkers that can be used to facilitate earlier diagnosis of KD. METHODS AND RESULTS:We enrolled 214 children...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.116.305834

    authors: Ko TM,Kuo HC,Chang JS,Chen SP,Liu YM,Chen HW,Tsai FJ,Lee YC,Chen CH,Wu JY,Chen YT

    更新日期:2015-02-27 00:00:00

  • C-reactive protein enhances LOX-1 expression in human aortic endothelial cells: relevance of LOX-1 to C-reactive protein-induced endothelial dysfunction.

    abstract::C-reactive protein (CRP), a characteristic inflammatory marker, is a powerful predictor of cardiovascular events. Recent data suggest that CRP may also promote atherogenesis through inducing endothelial dysfunction. Lectin-like oxidized low-density lipoprotein (oxLDL) receptor-1 (LOX-1) is a newly identified endotheli...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.RES.0000147309.54227.42

    authors: Li L,Roumeliotis N,Sawamura T,Renier G

    更新日期:2004-10-29 00:00:00

  • Contribution of the 5-HT(1B) receptor to hypoxia-induced pulmonary hypertension: converging evidence using 5-HT(1B)-receptor knockout mice and the 5-HT(1B/1D)-receptor antagonist GR127935.

    abstract::5-Hydroxytryptamine (5-HT)(1B) receptors mediate contraction in human pulmonary arteries, and 5-HT(1B) receptor-mediated contraction is enhanced in pulmonary arteries from hypoxic rats. Here we further examine the role of this receptor in the development of pulmonary hypertension (PHT) by examining (1) the effects of ...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/hh2401.100426

    authors: Keegan A,Morecroft I,Smillie D,Hicks MN,MacLean MR

    更新日期:2001-12-07 00:00:00

  • Velocity of the creatine kinase reaction decreases in postischemic myocardium: a 31P-NMR magnetization transfer study of the isolated ferret heart.

    abstract::Recovery of postischemic function may be limited by energy synthesis by mitochondria, energy transfer via the creatine kinase reaction, or energy utilization at myofibrils. To identify the limiting step, we defined the relations among oxygen consumption, creatine kinase reaction velocity and cardiac performance in myo...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.63.1.1

    authors: Neubauer S,Hamman BL,Perry SB,Bittl JA,Ingwall JS

    更新日期:1988-07-01 00:00:00

  • Vascular endothelial growth factor-B promotes in vivo angiogenesis.

    abstract::Vascular endothelial growth factors (VEGFs) and their receptors have emerged as central regulators of the angiogenic process. However, involvement of VEGF-B, one of these factors, in angiogenesis remains obscure. Mice received subcutaneous injection of Matrigel alone or Matrigel with human recombinant protein rhVEGF-B...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.RES.0000081594.21764.44

    authors: Silvestre JS,Tamarat R,Ebrahimian TG,Le-Roux A,Clergue M,Emmanuel F,Duriez M,Schwartz B,Branellec D,Lévy BI

    更新日期:2003-07-25 00:00:00

  • Lung endothelial dysfunction in congestive heart failure: role of impaired Ca2+ signaling and cytoskeletal reorganization.

    abstract:RATIONALE:Congestive heart failure (CHF) frequently results in remodeling and increased tone of pulmonary resistance vessels. This adaptive response, which aggravates pulmonary hypertension and thus, promotes right ventricular failure, has been attributed to lung endothelial dysfunction. OBJECTIVE:We applied real-time...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.109.210542

    authors: Kerem A,Yin J,Kaestle SM,Hoffmann J,Schoene AM,Singh B,Kuppe H,Borst MM,Kuebler WM

    更新日期:2010-04-02 00:00:00

  • Induction of insulin-like growth factor I messenger RNA in rat aorta after balloon denudation.

    abstract::Insulin-like growth factor I (IGF-I) is a widely distributed mitogen that mediates the growth-promoting effects of platelet-derived growth factor in mesenchymal cells. We show that rat aortic IGF-I messenger RNA (mRNA) is induced 24 hours after deendothelialization, at a time when smooth muscle cell proliferation with...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.66.6.1755

    authors: Cercek B,Fishbein MC,Forrester JS,Helfant RH,Fagin JA

    更新日期:1990-06-01 00:00:00

  • Coronary arteriolar myogenic response is independent of endothelium.

    abstract::The purpose of this study was to investigate if myogenic responses of isolated coronary arterioles were dependent on an intact, functional endothelium. Arterioles were located in situ by intracoronary perfusion with india ink-gelatin solution and then dissected and cannulated at both ends with glass micropipettes. Int...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.66.3.860

    authors: Kuo L,Chilian WM,Davis MJ

    更新日期:1990-03-01 00:00:00

  • Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympatho-vagal interaction in man and conscious dog.

    abstract::In 57 normal subjects (age 20-60 years), we analyzed the spontaneous beat-to-beat oscillation in R-R interval during control recumbent position, 90 degrees upright tilt, controlled respiration (n = 16) and acute (n = 10) and chronic (n = 12) beta-adrenergic receptor blockade. Automatic computer analysis provided the a...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.59.2.178

    authors: Pagani M,Lombardi F,Guzzetti S,Rimoldi O,Furlan R,Pizzinelli P,Sandrone G,Malfatto G,Dell'Orto S,Piccaluga E

    更新日期:1986-08-01 00:00:00

  • Pioglitazone-induced reductions in atherosclerosis occur via smooth muscle cell-specific interaction with PPAR{gamma}.

    abstract:RATIONALE:Peroxisome proliferator-activated receptor (PPAR)γ agonists attenuate atherosclerosis and abdominal aortic aneurysms (AAAs). PPARγ, a nuclear receptor, is expressed on many cell types including smooth muscle cells (SMCs). OBJECTIVE:To determine whether a PPARγ agonist reduces angiotensin II (Ang II)-induced ...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.110.219089

    authors: Subramanian V,Golledge J,Ijaz T,Bruemmer D,Daugherty A

    更新日期:2010-10-15 00:00:00

  • Role of sodium and calcium dysregulation in tachyarrhythmias in sudden cardiac death.

    abstract::Despite improvements in the therapy of underlying heart disease, sudden cardiac death is a major cause of death worldwide. Disturbed Na and Ca handling is known to be a major predisposing factor for life-threatening tachyarrhythmias. In cardiomyocytes, many ion channels and transporters, including voltage-gated Na and...

    journal_title:Circulation research

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCRESAHA.116.304678

    authors: Wagner S,Maier LS,Bers DM

    更新日期:2015-06-05 00:00:00

  • Reduced unloaded sarcomere shortening velocity and a shift to a slower myosin isoform in acute murine coxsackievirus myocarditis.

    abstract::We developed a mouse myocardial preparation to study cellular dysfunction in acute coxsackievirus myocarditis. Thin right ventricular papillary muscles from normal mice (n = 8) were compared with muscles from mice 7 days after coxsackievirus infection (n = 7). Sarcomere shortening was studied with laser diffraction (H...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.75.3.462

    authors: Hamrell BB,Huber SA,Leslie KO

    更新日期:1994-09-01 00:00:00

  • Characteristics of binding of endothelin-1 and endothelin-3 to rat hearts. Developmental changes in mechanical responses and receptor subtypes.

    abstract::Endothelin-1 (ET-1) and endothelin-3 (ET-3) produced positive inotropic effects on electrically stimulated left atria and increased the frequency of spontaneously beating right atria of adult rats. The potency of the inotropic effect of ET-1 was greater than that of ET-3, but the potencies of the chronotropic effects ...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.69.4.918

    authors: Ishikawa T,Li LM,Shinmi O,Kimura S,Yanagisawa M,Goto K,Masaki T

    更新日期:1991-10-01 00:00:00

  • Limitations of the double sucrose gap voltage clamp technique in tension-voltage determinations on frog atrial muscle.

    abstract::The purpose of this study was to evaluate the limitations of the double sucrose gap voltage clamp technique in the determination of tension-voltage relationships for frog atrial muscle. Tension-voltage relationships were determined under two conditions. In one case we determined both the tension response and slow inwa...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.39.1.106

    authors: Tarr M,Trank JW

    更新日期:1976-07-01 00:00:00

  • Cardiac sympathetic afferent cell bodies are located in the peripheral nervous system of the cat.

    abstract::Studies of the stellate ganglion and middle cervical ganglion indicate that sympathetic efferent nerve activity can be modified by peripheral excitatory inputs and that these neural connections may function as pathways for a peripheral reflex at the level of the thoracic sympathetic ganglia. This excitatory synaptic i...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.64.3.554

    authors: Bosnjak ZJ,Kampine JP

    更新日期:1989-03-01 00:00:00

  • In vitro acetylcholine biosynthesis in normal and failing guinea pig hearts.

    abstract::Choline acetyltransferase activity, which is rate limiting in acetylcholine biosynthesis, was measured in the four heart chambers of guinea pigs subjected to (1) sham surgery, (2) constriction of the ascending aorta, (3) constriction of the descending thoracic aorta, and (4) constriction of the pulmonary artery. After...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.36.4.547

    authors: Roskoski R Jr,Schmid PG,Mayer HE,Abboud FM

    更新日期:1975-04-01 00:00:00

  • Branching patterns in the porcine coronary arterial tree. Estimation of flow heterogeneity.

    abstract::The aim of this study is to quantify the porcine coronary arterial branching pattern and to use this quantification for the interpretation of flow heterogeneity. Two casts of the coronary arterial tree were made at diastolic arrest and maximal dilation. The relation between length and diameter of arterial segments was...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.71.5.1200

    authors: VanBavel E,Spaan JA

    更新日期:1992-11-01 00:00:00

  • H2O2-induced dilation in human coronary arterioles: role of protein kinase G dimerization and large-conductance Ca2+-activated K+ channel activation.

    abstract:RATIONALE:Hydrogen peroxide (H(2)O(2)) serves as a key endothelium-derived hyperpolarizing factor mediating flow-induced dilation in human coronary arterioles (HCAs). The precise mechanisms by which H(2)O(2) elicits smooth muscle hyperpolarization are not well understood. An important mode of action of H(2)O(2) involve...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.111.258871

    authors: Zhang DX,Borbouse L,Gebremedhin D,Mendoza SA,Zinkevich NS,Li R,Gutterman DD

    更新日期:2012-02-03 00:00:00

  • Electrotonic interactions across an inexcitable region as a cause of ectopic activity in acute regional myocardial ischemia. A study in intact porcine and canine hearts and computer models.

    abstract::We recorded 60 DC simultaneous electrograms from isolated porcine and canine hearts in the first minutes after coronary occlusion. Ventricular premature beats (VPB) originated from the normal side of the ischemic border, which was frequently separated from the central ischemic area showing delayed activity by a small ...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.50.4.527

    authors: Janse MJ,van Capelle FJ

    更新日期:1982-04-01 00:00:00

  • Heart failure in rats causes changes in skeletal muscle morphology and gene expression that are not explained by reduced activity.

    abstract::In patients with congestive heart failure, skeletal muscle is characterized by a smaller proportion of slow-twitch oxidative fibers and reduced oxidative enzyme activity. However, whether these changes result from disuse or occur as a direct consequence of heart failure is unresolved. To address this issue, 18 rats wi...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.79.1.128

    authors: Simonini A,Long CS,Dudley GA,Yue P,McElhinny J,Massie BM

    更新日期:1996-07-01 00:00:00

  • An isolated cardiac conduction disease maps to chromosome 19q.

    abstract::Isolated cardiac conduction disease is an autosomal dominant defect that includes various combinations of bundle branch or fascicular blocks. These defects can cause sudden death due to a complete heart block. We used a genome-wide screening approach with polymorphic (CA)n repeat markers to determine the chromosomal p...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.77.4.735

    authors: de Meeus A,Stephan E,Debrus S,Jean MK,Loiselet J,Weissenbach J,Demaille J,Bouvagnet P

    更新日期:1995-10-01 00:00:00

  • Reperfusion of rat heart after brief ischemia induces proteolysis of calspectin (nonerythroid spectrin or fodrin) by calpain.

    abstract::Rat myocardium expresses the 240- and 235-kD polypeptides antigenically related to alpha- and beta-subunits of brain calspectin (nonerythroid spectrin or fodrin), respectively. In the subcellular fractions of the myocardium, alpha-calspectin was found in the 600g, 10,000g, and 100,000g pellets, whereas beta-calspectin...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.77.3.603

    authors: Yoshida K,Inui M,Harada K,Saido TC,Sorimachi Y,Ishihara T,Kawashima S,Sobue K

    更新日期:1995-09-01 00:00:00

  • Mechanisms that regulate macrophage burden in atherosclerosis.

    abstract::Mononuclear phagocytes (MPs) relevant to atherosclerosis include monocytes, macrophages, and dendritic cells. A decade ago, studies on macrophage behavior in atherosclerotic lesions were often limited to quantification of total macrophage area in cross-sections of plaques. Although technological advances are still nee...

    journal_title:Circulation research

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCRESAHA.114.301174

    authors: Randolph GJ

    更新日期:2014-05-23 00:00:00

  • Ischemic preconditioning reduces infarct size in swine myocardium.

    abstract::We evaluated the hypothesis that stunning swine myocardium with brief ischemia reduces oxygen demand in the stunned region and increases tolerance of myocardium to longer periods of ischemia. Wall function was quantified with ultrasonic crystals aligned to measure wall thickening, and stunning was achieved with two cy...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.66.4.1133

    authors: Schott RJ,Rohmann S,Braun ER,Schaper W

    更新日期:1990-04-01 00:00:00

  • Activation of ATP-sensitive K+ channels by cromakalim. Effects on cellular K+ loss and cardiac function in ischemic and reperfused mammalian ventricle.

    abstract::Pharmacological modulation of [K+]o accumulation and action potential changes during acute myocardial ischemia is under evaluation as a promising new antiarrhythmic and cardioprotective strategy during myocardial ischemia and reperfusion. We studied the effects of cromakalim, a K+ channel opener that activates ATP-sen...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.71.6.1324

    authors: Venkatesh N,Stuart JS,Lamp ST,Alexander LD,Weiss JN

    更新日期:1992-12-01 00:00:00

  • Uncoupling protein 2 impacts endothelial phenotype via p53-mediated control of mitochondrial dynamics.

    abstract:RATIONALE:Mitochondria, although required for cellular ATP production, are also known to have other important functions that may include modulating cellular responses to environmental stimuli. However, the mechanisms whereby mitochondria impact cellular phenotype are not yet clear. OBJECTIVE:To determine how mitochond...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/CIRCRESAHA.113.301319

    authors: Shimasaki Y,Pan N,Messina LM,Li C,Chen K,Liu L,Cooper MP,Vita JA,Keaney JF Jr

    更新日期:2013-09-13 00:00:00

  • Local monocyte chemoattractant protein-1 therapy increases collateral artery formation in apolipoprotein E-deficient mice but induces systemic monocytic CD11b expression, neointimal formation, and plaque progression.

    abstract::Monocyte chemoattractant protein-1 (MCP-1) stimulates the formation of a collateral circulation on arterial occlusion. The present study served to determine whether these proarteriogenic properties of MCP-1 are preserved in hyperlipidemic apolipoprotein E-deficient (apoE-/-) mice and whether it affects the systemic de...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.0000052313.23087.3f

    authors: van Royen N,Hoefer I,Böttinger M,Hua J,Grundmann S,Voskuil M,Bode C,Schaper W,Buschmann I,Piek JJ

    更新日期:2003-02-07 00:00:00

  • Relationship between changes in left ventricular bipolar electrograms and regional myocardial blood flow during acute coronary artery occlusion in the dog.

    abstract::The purpose of this study was to determine whether a quantitative relationship existed between a reduction in regional myocardial blood flow, measured by radiolabeled microspheres, and the degree and type of changes in myocardial activation recorded in bipolar left ventricular subepicardial and subendocardial electrog...

    journal_title:Circulation research

    pub_type: 杂志文章

    doi:10.1161/01.res.45.6.764

    authors: Ruffy R,Lovelace DE,Mueller TM,Knoebel SB,Zipes DP

    更新日期:1979-12-01 00:00:00

  • Innate and adaptive immunity in the pathogenesis of atherosclerosis.

    abstract::This review considers critically the evidence for the involvement of mediators of innate and acquired immunity in various stages of atherosclerosis. Rapidly mobilized arms of innate immunity, including phagocytic leukocytes, complement, and proinflammatory cytokines, contribute to atherogenesis. In addition, adaptive ...

    journal_title:Circulation research

    pub_type: 杂志文章,评审

    doi:10.1161/01.res.0000029784.15893.10

    authors: Hansson GK,Libby P,Schönbeck U,Yan ZQ

    更新日期:2002-08-23 00:00:00