With careful patient selection, timely neuroendovascular therapy can improv
e the clinical outcome of patients suffering from cerebrovascular ischemic
disease. The current indications, techniques, recent experiences, limitatio
ns, and future directions of balloon angioplasty and local intra-arterial/i
ntravenous thrombolysis in the treatment of intracranial vasospasm, atheros
clerotic disease, thromboembolism, and dural sinus thrombosis are reviewed.