Clinicoradiological Features and Outcomes of Patients with Atherosclerotic Basilar Artery Steno-Occlusion: A Single-Center Experience
Purpose: There is a relatively higher risk of peri-procedural stroke following elective stenting of patients with basilar artery (BA) occlusion compared with stenting of intracranial arteries. We sought to diagnose stroke risks in patients with BA steno-occlusive disease by describing their clinico...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2017-12-01
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| Series: | 대한영상의학회지 |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2017.77.6.388 |
| _version_ | 1798045235554549760 |
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| author | Ga Hye Shin Young-Jun Lee Dong Woo Park Ji Young Lee Young Seo Kim Hyun Young Kim Hyeong-Joong Yi |
| author_facet | Ga Hye Shin Young-Jun Lee Dong Woo Park Ji Young Lee Young Seo Kim Hyun Young Kim Hyeong-Joong Yi |
| author_sort | Ga Hye Shin |
| collection | DOAJ |
| description | Purpose: There is a relatively higher risk of peri-procedural stroke following elective
stenting of patients with basilar artery (BA) occlusion compared with stenting of intracranial arteries. We sought to diagnose stroke risks in patients with BA steno-occlusive disease by describing their clinicoradiological features and by demonstrating
that appropriate treatment would lead to favorable outcomes.
Materials and Methods: A total of 92 patients who were treated from 2004 to
2016 for severe stenosis or occlusion of BA based on MR or CT angiography were enrolled in the study. We assessed clinical features, radiologic findings, and other clinical
outcomes such as the degree of disability as determined by the modified Rankin Scale.
Results: A total of 49 of the 92 patients (53.3%) had no relevant symptoms. The risk
of a recurrent or new infarct in the relevant area was 4.59%/year. Following treatment, more than 50% of the 92 patients had favorable outcomes. A recurrent or new
infarct was found in 9 (20.5%) of the 44 patients who had a poor prognosis. There
was no significant difference between the two groups with respect to compromised
circulation; however, the initial infarct (16 of 48 and 29 of 44, p = 0.002) was statistically significant between the two groups.
Conclusion: Atherosclerotic BA steno-occlusion disease is associated with a relatively low risk of a recurrent or new infarct and with favorable clinical outcomes following appropriate medical treatment. |
| first_indexed | 2024-04-11T23:17:39Z |
| format | Article |
| id | doaj.art-6d437bdc703e4d3cb1ec34378ead0195 |
| institution | Directory Open Access Journal |
| issn | 1738-2637 2288-2928 |
| language | English |
| last_indexed | 2024-04-11T23:17:39Z |
| publishDate | 2017-12-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | 대한영상의학회지 |
| spelling | doaj.art-6d437bdc703e4d3cb1ec34378ead01952022-12-22T03:57:34ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282017-12-01776388395https://doi.org/10.3348/jksr.2017.77.6.388Clinicoradiological Features and Outcomes of Patients with Atherosclerotic Basilar Artery Steno-Occlusion: A Single-Center ExperienceGa Hye Shin0Young-Jun Lee1Dong Woo Park2Ji Young Lee3Young Seo Kim4Hyun Young Kim5Hyeong-Joong Yi6Department of Radiology, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, Korea Department of Radiology, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, Korea Department of Radiology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, KoreaDepartment of Radiology, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, Korea Department of Neurology, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, Korea Department of Neurology, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, Korea Department of Neurosurgery, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, Korea Purpose: There is a relatively higher risk of peri-procedural stroke following elective stenting of patients with basilar artery (BA) occlusion compared with stenting of intracranial arteries. We sought to diagnose stroke risks in patients with BA steno-occlusive disease by describing their clinicoradiological features and by demonstrating that appropriate treatment would lead to favorable outcomes. Materials and Methods: A total of 92 patients who were treated from 2004 to 2016 for severe stenosis or occlusion of BA based on MR or CT angiography were enrolled in the study. We assessed clinical features, radiologic findings, and other clinical outcomes such as the degree of disability as determined by the modified Rankin Scale. Results: A total of 49 of the 92 patients (53.3%) had no relevant symptoms. The risk of a recurrent or new infarct in the relevant area was 4.59%/year. Following treatment, more than 50% of the 92 patients had favorable outcomes. A recurrent or new infarct was found in 9 (20.5%) of the 44 patients who had a poor prognosis. There was no significant difference between the two groups with respect to compromised circulation; however, the initial infarct (16 of 48 and 29 of 44, p = 0.002) was statistically significant between the two groups. Conclusion: Atherosclerotic BA steno-occlusion disease is associated with a relatively low risk of a recurrent or new infarct and with favorable clinical outcomes following appropriate medical treatment.https://doi.org/10.3348/jksr.2017.77.6.388basilar arteryatherosclerosisstenosiscerebral infarctionmedicine |
| spellingShingle | Ga Hye Shin Young-Jun Lee Dong Woo Park Ji Young Lee Young Seo Kim Hyun Young Kim Hyeong-Joong Yi Clinicoradiological Features and Outcomes of Patients with Atherosclerotic Basilar Artery Steno-Occlusion: A Single-Center Experience 대한영상의학회지 basilar artery atherosclerosis stenosis cerebral infarction medicine |
| title | Clinicoradiological Features and Outcomes of Patients with Atherosclerotic Basilar Artery Steno-Occlusion: A Single-Center Experience |
| title_full | Clinicoradiological Features and Outcomes of Patients with Atherosclerotic Basilar Artery Steno-Occlusion: A Single-Center Experience |
| title_fullStr | Clinicoradiological Features and Outcomes of Patients with Atherosclerotic Basilar Artery Steno-Occlusion: A Single-Center Experience |
| title_full_unstemmed | Clinicoradiological Features and Outcomes of Patients with Atherosclerotic Basilar Artery Steno-Occlusion: A Single-Center Experience |
| title_short | Clinicoradiological Features and Outcomes of Patients with Atherosclerotic Basilar Artery Steno-Occlusion: A Single-Center Experience |
| title_sort | clinicoradiological features and outcomes of patients with atherosclerotic basilar artery steno occlusion a single center experience |
| topic | basilar artery atherosclerosis stenosis cerebral infarction medicine |
| url | https://doi.org/10.3348/jksr.2017.77.6.388 |
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