Document Detail


Angioplasty and stenting in the posterior cerebral circulation.
MedLine Citation:
PMID:  11797968     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report initial experience with intracranial vertebral artery (VA) and basilar artery (BA) percutaneous transluminal angioplasty (PTA) and stenting. METHODS: Eleven patients (10 men; mean age 66 years, range 56-75) with intracranial 14 VA and 3 BA stenoses were managed from December 1997 through November 1999. All patients presented with vertebrobasilar ischemia (VBI) despite antiplatelet and anticoagulant therapy. Clinical presentations included visual disturbance (n = 8), dysarthria/dysphasia (n = 5), and vertigo (n = 5). RESULTS: Five patients underwent PTA only of 7 lesions with a mean preprocedural stenosis of 80% (range 50%-90%) that was reduced to 54% (range 30%-70%) after dilation. Six patients received 9 stents, 2 for VA dissections, 3 for tandem lesions, and 1 for a BA lesion. There were no embolic strokes. Patients were followed by clinical evaluation and personal or telephone interviews. Over a mean 18-month follow-up (range 12-35), 8 (73%) patients remained asymptomatic, while 3 (27%) had permanent deficits, 2 related to the procedure and 1 owing to distal disease CONCLUSIONS: Intracranial VA or BA angioplasty and stenting alleviated symptoms in patients with vertebrobasilar ischemia despite best medical management and may prevent stroke.
Authors:
M S Barakate; K L Snook; T J Harrington; W Sorby; J Pik; M K Morgan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  8     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2002-01-18     Completed Date:  2002-05-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  558-65     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Sydney, Royal North Shore Hospital, St. Leonards, NSW, Australia. msbarakate@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Angioplasty, Balloon / methods*
Basilar Artery / radiography
Combined Modality Therapy
Female
Follow-Up Studies
Humans
Male
Middle Aged
Stents*
Vertebral Artery / radiography
Vertebrobasilar Insufficiency / radiography,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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