Transluminal angioplasty and stenting for intracranial vertebrobasilar occlusive lesions in acute stroke patients.

AJNR. American Journal of Neuroradiology
K ImaiM Watanabe

Abstract

The clinical outcome is often poor in acute stroke patients with a serious neurological status due to occlusive lesions of the intracranial vertebral and/or basilar artery (IVBA). The purpose of this study was to investigate retrospectively the clinical features and outcome of acute stroke patients who underwent transluminal angioplasty and/or stenting (TAS) for occlusive lesions of the IVBA and to clarify the prerequisites for improvement of outcome. Of 1690 consecutive acute ischemic stroke patients admitted to our institution, TAS for occlusive lesions of the IVBA was performed within 7 days after stroke onset in 28 patients. We classified these patients into 2 groups, those with total occlusion (occlusion group) and those with a high-grade stenosis (stenosis group), and compared the preprocedural neurologic status (severe: National Institutes of Health Stroke Scale >20), the rate of technical success, major procedure-related complications, subacute occlusion of the treated vessel, and favorable clinical outcome (0-2 points on a 3-month modified Rankin Scale) between the 2 groups. In the occlusion group (n = 16) and stenosis group (n = 12), a severe preprocedural neurologic status was seen in 13 and 1 patients, respectively ...Continue Reading

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Citations

Sep 12, 2015·Expert Review of Anti-infective Therapy·Mei-Zhen YuanGuang-Wei Liu
Dec 16, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·MingChao ShiJiang Wu
Oct 22, 2010·São Paulo Medical Journal = Revista Paulista De Medicina·Adriana Bastos ConfortoMilberto Scaff
Nov 26, 2010·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Edoardo VicenziniGian Luigi Lenzi

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