| Angioplasty or stenting of extra- and intracranial vertebral artery stenoses. | |
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MedLine Citation:
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PMID: 15109229 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To determine the feasibility and safety of angioplasty or angioplasty and stenting of extra- and intracranial vertebral artery (VA) stenosis. METHODS: In 16 consecutive patients (9 men, 7 women; mean age 61 years, range 49-74 years) 16 stenotic VAs were treated with angioplasty or angioplasty and stenting. Eleven stenoses were localized in V1 segment, 1 stenosis in V2 segment and 4 stenoses in V4 segment of VA. Fourteen VA stenoses were symptomatic, 2 asymptomatic. The etiology of the stenoses was atherosclerotic in all cases. RESULTS: Angioplasty was performed in 8 of 11 V1 and 2 of 4 V4 segments of the VA. In 3 of 11 V1 segments and 2 of 4 V4 segments of the VA we combined angioplasty with stenting. The procedures were successfully performed in 14 of 16 VAs (87%). Complications were asymptomatic vessel dissection resulting in vessel occlusion in 1 of 11 V1 segments and asymptomatic vessel dissection in 2 of 4 V4 segments of the VA. One patient died in the 24-hr period after the procedure because of subarachnoid hemorrhage as a complication following vessel perforation of the treated V4 segment. CONCLUSION: Angioplasty or angioplasty and stenting of extracranial VA stenoses can be performed with a high technical success rate and a low complication rate. In intracranial VA stenosis the procedure is technically feasible but complications can be life-threatening. The durability and procedural complication rates of primary stenting without using predilation in extra- and intracranial VA stenosis should be defined in the future. |
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Authors:
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Elke A M Hauth; H Martin Gissler; Robert Drescher; Christian Jansen; Horst J Jaeger; Klaus D Mathias |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: 27 ISSN: 0174-1551 ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 2004 Jan-Feb |
Date Detail:
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Created Date: 2004-04-27 Completed Date: 2004-11-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8003538 Medline TA: Cardiovasc Intervent Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 51-7 Citation Subset: IM |
Affiliation:
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Department of Radiology and Interventional Radiology, University Hospital Essen, Essen, Germany. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Balloon* Blood Vessel Prosthesis Implantation Brachial Artery / radiography, surgery Brain / blood supply*, radiography Cerebral Angiography Combined Modality Therapy Feasibility Studies Female Femoral Artery / radiography, surgery Follow-Up Studies Germany Humans Male Middle Aged Postoperative Complications / etiology, mortality, radiography, surgery Reoperation Stents* Survival Analysis Treatment Outcome Vertebrobasilar Insufficiency / radiography, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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