Document Detail


Percutaneous transluminal angioplasty for atherosclerotic stenoses of intracranial vessels.
MedLine Citation:
PMID:  20587243     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
To study the efficacy and long-term outcome of percutaneous transluminal angioplasty (PTA) with/without stent placement for intracranial atherosclerotic stenoses, we reviewed our treated cases retrospectively. Between May 1992 and October 2003, PTA with/without stents was performed in 64 intracranial and skull base vessels in 62 patients, including 24 middle cerebral arteries, 16 internal carotid arteries, 13 vertebral arteries, and 11 basilar arteries. PTA was technically successful in 55 vessels (86%). However, four vessels (6%) failed to achieve satisfactory dilatation. We encountered five periprocedural strokes as symptomatic complications, for a mortality rate of 4.7% and a morbidity rate of 3.1%. All the patients with stent placements survived angioplasty without any complication. In the clinical follow-up available for one week to 11.5 years (mean, 4.7 years), there were three strokes related to the treated vessels. The annual stroke rate in the affected territory was estimated at 1.2% per year. According to these results, PTA for intracranial atherosclerotic stenoses seems to be a beneficial therapy for immediate anatomical results and long-term stroke prevention. Stent-assisted PTA could help patients achieve successful dilatation and avoid complications.
Authors:
Y Matsumaru; W Tsuruta; T Takigawa; A Hyodo; H Sato; A Matsumura
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Publication Detail:
Type:  Journal Article     Date:  2008-05-15
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  10 Suppl 2     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2010-06-30     Completed Date:  2012-10-02     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  17-20     Citation Subset:  -    
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