Clinical study on endovascular recanalization of symptomatic non ⁃ acute middle cerebral artery occlusion
Objective To assess the feasibility, safety and short⁃term outcomes of angioplasty and stenting for patients with symptomatic non⁃acute middle cerebral artery occlusion (SNAMCAO). Methods Eight SNAMCAO patients who failed in medical treatment and underwent endovascular recanalization, were collected...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Tianjin Huanhu Hospital
2020-06-01
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| Series: | Chinese Journal of Contemporary Neurology and Neurosurgery |
| Subjects: | |
| Online Access: | http://www.cjcnn.org/index.php/cjcnn/article/view/2159 |
| _version_ | 1819028644633247744 |
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| author | Xiu-zhen LI Wen-tao YAN Shan GUO Zhen-hai ZHANG Xiao-feng ZHANG Ai-hua LIU Jia-chun LIU |
| author_facet | Xiu-zhen LI Wen-tao YAN Shan GUO Zhen-hai ZHANG Xiao-feng ZHANG Ai-hua LIU Jia-chun LIU |
| author_sort | Xiu-zhen LI |
| collection | DOAJ |
| description | Objective To assess the feasibility, safety and short⁃term outcomes of angioplasty and stenting for patients with symptomatic non⁃acute middle cerebral artery occlusion (SNAMCAO). Methods Eight SNAMCAO patients who failed in medical treatment and underwent endovascular recanalization, were collected from January to December 2019. The success rate, perioperative complications, prognosis and stent restenosis were summarized. Results In 8 cases, 7 cases succeeded and one case failed. Four cases occurred perioperative complications, including symptomatic intracranial hemorrhage (2 cases), transient ischemic attact (1 case) and stent thrombosis (1 case). Seven to 13d after operation the modifical Rankin Scale(mRS)0-2 score were seen in 6 cases, 3 in one case and 4 in one case. Four months after operation one case occurred restenosis in the stent. Conclusions For patients with SNAMCAO, if medical treatment is not effective, endovascular recanalization can be considered, but the recanalization technique is complicated and the incidence of complications is still high. Therefore, the safety and necessity of endovascular recanalization need to be strictly evaluated.
DOI：10.3969/j.issn.1672⁃6731.2020.06.008 |
| first_indexed | 2024-12-21T06:01:39Z |
| format | Article |
| id | doaj.art-c2144875425c49c6acc291a091ead272 |
| institution | Directory Open Access Journal |
| issn | 1672-6731 |
| language | English |
| last_indexed | 2024-12-21T06:01:39Z |
| publishDate | 2020-06-01 |
| publisher | Tianjin Huanhu Hospital |
| record_format | Article |
| series | Chinese Journal of Contemporary Neurology and Neurosurgery |
| spelling | doaj.art-c2144875425c49c6acc291a091ead2722022-12-21T19:13:45ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312020-06-012065125182114Clinical study on endovascular recanalization of symptomatic non ⁃ acute middle cerebral artery occlusionXiu-zhen LIWen-tao YANShan GUOZhen-hai ZHANGXiao-feng ZHANGAi-hua LIUJia-chun LIUObjective To assess the feasibility, safety and short⁃term outcomes of angioplasty and stenting for patients with symptomatic non⁃acute middle cerebral artery occlusion (SNAMCAO). Methods Eight SNAMCAO patients who failed in medical treatment and underwent endovascular recanalization, were collected from January to December 2019. The success rate, perioperative complications, prognosis and stent restenosis were summarized. Results In 8 cases, 7 cases succeeded and one case failed. Four cases occurred perioperative complications, including symptomatic intracranial hemorrhage (2 cases), transient ischemic attact (1 case) and stent thrombosis (1 case). Seven to 13d after operation the modifical Rankin Scale(mRS)0-2 score were seen in 6 cases, 3 in one case and 4 in one case. Four months after operation one case occurred restenosis in the stent. Conclusions For patients with SNAMCAO, if medical treatment is not effective, endovascular recanalization can be considered, but the recanalization technique is complicated and the incidence of complications is still high. Therefore, the safety and necessity of endovascular recanalization need to be strictly evaluated. DOI：10.3969/j.issn.1672⁃6731.2020.06.008http://www.cjcnn.org/index.php/cjcnn/article/view/2159arterial occlusive diseasesmiddle cerebral arteryangioplastystentsintraoperative complications |
| spellingShingle | Xiu-zhen LI Wen-tao YAN Shan GUO Zhen-hai ZHANG Xiao-feng ZHANG Ai-hua LIU Jia-chun LIU Clinical study on endovascular recanalization of symptomatic non ⁃ acute middle cerebral artery occlusion Chinese Journal of Contemporary Neurology and Neurosurgery arterial occlusive diseases middle cerebral artery angioplasty stents intraoperative complications |
| title | Clinical study on endovascular recanalization of symptomatic non ⁃ acute middle cerebral artery occlusion |
| title_full | Clinical study on endovascular recanalization of symptomatic non ⁃ acute middle cerebral artery occlusion |
| title_fullStr | Clinical study on endovascular recanalization of symptomatic non ⁃ acute middle cerebral artery occlusion |
| title_full_unstemmed | Clinical study on endovascular recanalization of symptomatic non ⁃ acute middle cerebral artery occlusion |
| title_short | Clinical study on endovascular recanalization of symptomatic non ⁃ acute middle cerebral artery occlusion |
| title_sort | clinical study on endovascular recanalization of symptomatic non ⁃ acute middle cerebral artery occlusion |
| topic | arterial occlusive diseases middle cerebral artery angioplasty stents intraoperative complications |
| url | http://www.cjcnn.org/index.php/cjcnn/article/view/2159 |
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