Review of Cerebral Collateral Circulation and Insight Into Cardiovascular Strategies to Limit Collateral Damage in Ischemic Stroke

Authors

Chaitanya Medicherla, From the Department of Neurology, New York Medical College, Valhalla, NY.
Raymond Pashun, Department of Cardiology, New York University Langone Health, New York, NY.
Fawaz Al-Mufti, Department of Neurology, Neurosurgery, and Radiology, New York Medical College, Valhalla, NY.Follow

Author Type(s)

Faculty

DOI

10.1097/CRD.0000000000000614

Journal Title

Cardiology in Review

First Page

188

Last Page

193

Document Type

Article

Publication Date

5-1-2024

Department

Neurology

Abstract

Cerebral collateral circulation is a dynamic and adaptive process by which alternative vascular pathways supply perfusion to ischemic brain tissue in the event of an arterial occlusion. This complicated network of blood vessels that acts as a natural bypass plays a pivotal role in stroke pathophysiology and has become a key area of study given its significance in stroke treatment and patient outcomes. In this review, we will study the factors influencing the formation, recruitment, and endurance of collateral vessels; discuss imaging modalities for quantitative and qualitative assessment of this network; explore the role of collaterals in stroke management; and highlight several cardiovascular strategies to minimize damage to collaterals and optimize stroke outcomes.

Recommended Citation

Medicherla, C., Pashun, R., & Al-Mufti, F. (2024). Review of Cerebral Collateral Circulation and Insight Into Cardiovascular Strategies to Limit Collateral Damage in Ischemic Stroke. Cardiology in Review, 32 (3), 188-193. https://doi.org/10.1097/CRD.0000000000000614