| Outcome of angioplasty for atherosclerotic intracranial stenosis. | |
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MedLine Citation:
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PMID: 10229745 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: We sought to assess the long-term outcome and efficacy of percutaneous transluminal angioplasty in the treatment of symptomatic intracranial atherosclerotic stenoses. METHODS: Twenty-three patients with fixed symptomatic intracranial stenoses were treated over a 5-year period with percutaneous transluminal angioplasty. Patients who underwent successful angioplasty were followed up for 16 to 74 months (mean, 35.4 months). RESULTS: An angioplasty that resulted in decreased stenosis was performed in 21 of 23 patients (91.3%). In 1 case a stenosis could not be safely crossed, and in another balloon dilatation resulted in vessel rupture. This vessel rupture resulted in the 1 periprocedural death in the series. In follow-up there was 1 stroke in the same vascular territory as the angioplasty and 2 strokes in the series overall. This yielded an annual stroke rate of 3.2% for strokes in the territory appropriate to the site of angioplasty. CONCLUSIONS: Intracranial angioplasty can be performed with a high degree of technical success. The long-term clinical follow-up available in this series suggests that it may reduce the risk of future stroke in patients with symptomatic intracranial stenoses. |
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Authors:
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M P Marks; M Marcellus; A M Norbash; G K Steinberg; D Tong; G W Albers |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Stroke; a journal of cerebral circulation Volume: 30 ISSN: 0039-2499 ISO Abbreviation: Stroke Publication Date: 1999 May |
Date Detail:
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Created Date: 1999-05-27 Completed Date: 1999-05-27 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0235266 Medline TA: Stroke Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1065-9 Citation Subset: IM |
Affiliation:
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Department of Radiology, Stanford Stroke Center, Stanford University Medical Center, California, 94305-5105, USA. m.marks@stanford.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Angioplasty, Balloon* Arterial Occlusive Diseases / mortality, therapy* Arteriosclerosis / mortality, therapy* Basilar Artery* Cerebral Angiography Female Follow-Up Studies Humans Intraoperative Complications / mortality Male Middle Aged Retrospective Studies Treatment Outcome Vertebral Artery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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