ABSTRACT

Introduction Only within the past few years have technological advances provided clinicians with stents capable of negotiating the tortuosity of the intracranial circulation, The recent development of smaller, more pliable stents and delivery devices has greatly broadened the application of intracranial stenting for various clinicopathological disease processes. This chapter discusses the utility of stent implantation for the following cerebrovascular diseases: intracranial atherosclerosis and stenosis, arterial dissection, fusiform and wide-necked aneurysms, venous occlusive disease, and acute vessel thrombosis. In addition some of the basic technical aspects of intracranial stent insertion are described, along with the peri-procedural medical management of the patients.