Severe symptomatic intracranial internal carotid artery stenosis treated with intracranial stenting: a single center study with 58 patients
PURPOSEWe aimed to investigate the safety and effectiveness of intracranial stenting in a population with severe (≥70%) symptomatic intracranial internal carotid artery (ICA) atherosclerotic stenosis.METHODSFifty-eight patients with severe intracranial ICA atherosclerotic stenosis were prospectively...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2016-03-01
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| Series: | Diagnostic and Interventional Radiology |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/severe-symptomatic-intracranial-internal-carotid-a/55528
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| _version_ | 1797691238937264128 |
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| author | Zi-Liang Wang Bu-Lang Gao Tian-Xiao Li Dong-Yang Cai Liang-Fu Zhu Jiang-Yu Xue Wei-Xing Bai Zhao-Shuo Li |
| author_facet | Zi-Liang Wang Bu-Lang Gao Tian-Xiao Li Dong-Yang Cai Liang-Fu Zhu Jiang-Yu Xue Wei-Xing Bai Zhao-Shuo Li |
| author_sort | Zi-Liang Wang |
| collection | DOAJ |
| description | PURPOSEWe aimed to investigate the safety and effectiveness of intracranial stenting in a population with severe (≥70%) symptomatic intracranial internal carotid artery (ICA) atherosclerotic stenosis.METHODSFifty-eight patients with severe intracranial ICA atherosclerotic stenosis were prospectively enrolled. The baseline data, cerebral angiography, success rate, perioperative complications, clinical and imaging follow-up were prospectively analyzed.RESULTSAll patients had successful intracranial stenting (100%), and the mean degree of stenosis was improved from 84.3%±7.5% to 23.5%±5.1% after the stent procedure. During the 30-day perioperative period, only one patient (1.7%) had ischemic stroke. Seven patients (12.1%) had headache and dysphoria. Thirty-six patients (62.1%) had clinical follow-up for 6–68 months after stenting. Five female patients (13.9%) had ipsilateral stroke including one death, but no disabling stroke, while three other patients (8.3%) had ipsilateral temporary ischemic attack (TIA). The recurrent stroke rate was higher in patients presenting with stroke (4/17, 23.5%) than in patients presenting with TIA (1/19, 5.3%), with no statistical significance (P = 0.33). Thirteen patients (22.4%) had imaging follow-up of 5–12 months following stenting, five of whom (38.5%) had in-stent restenosis.CONCLUSIONIntracranial stenting for patients with intracranial ICA atherosclerotic stenosis has a low perioperative stroke rate and decent outcome on long-term follow-up, despite a relatively high in-stent restenosis rate. |
| first_indexed | 2024-03-12T02:10:31Z |
| format | Article |
| id | doaj.art-c52d2fdb67e24524ab7f99b9cc73076f |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:10:31Z |
| publishDate | 2016-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-c52d2fdb67e24524ab7f99b9cc73076f2023-09-06T13:41:57ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122016-03-0122217818310.5152/dir.2015.1519113049054Severe symptomatic intracranial internal carotid artery stenosis treated with intracranial stenting: a single center study with 58 patientsZi-Liang Wang0Bu-Lang Gao1Tian-Xiao Li2Dong-Yang Cai3Liang-Fu Zhu4Jiang-Yu Xue5Wei-Xing Bai6Zhao-Shuo Li7 Stroke Center, Henan Provincial People’s Hospital, Zhengzhou University, Henan, China Department of Medical Research, Shijiazhuang First Hospital, Hebei Medical University, Hebei, China Stroke Center, Henan Provincial People’s Hospital, Zhengzhou University, Henan, China Stroke Center, Henan Provincial People’s Hospital, Zhengzhou University, Henan, China Stroke Center, Henan Provincial People’s Hospital, Zhengzhou University, Henan, China Stroke Center, Henan Provincial People’s Hospital, Zhengzhou University, Henan, China Stroke Center, Henan Provincial People’s Hospital, Zhengzhou University, Henan, China Stroke Center, Henan Provincial People’s Hospital, Zhengzhou University, Henan, China PURPOSEWe aimed to investigate the safety and effectiveness of intracranial stenting in a population with severe (≥70%) symptomatic intracranial internal carotid artery (ICA) atherosclerotic stenosis.METHODSFifty-eight patients with severe intracranial ICA atherosclerotic stenosis were prospectively enrolled. The baseline data, cerebral angiography, success rate, perioperative complications, clinical and imaging follow-up were prospectively analyzed.RESULTSAll patients had successful intracranial stenting (100%), and the mean degree of stenosis was improved from 84.3%±7.5% to 23.5%±5.1% after the stent procedure. During the 30-day perioperative period, only one patient (1.7%) had ischemic stroke. Seven patients (12.1%) had headache and dysphoria. Thirty-six patients (62.1%) had clinical follow-up for 6–68 months after stenting. Five female patients (13.9%) had ipsilateral stroke including one death, but no disabling stroke, while three other patients (8.3%) had ipsilateral temporary ischemic attack (TIA). The recurrent stroke rate was higher in patients presenting with stroke (4/17, 23.5%) than in patients presenting with TIA (1/19, 5.3%), with no statistical significance (P = 0.33). Thirteen patients (22.4%) had imaging follow-up of 5–12 months following stenting, five of whom (38.5%) had in-stent restenosis.CONCLUSIONIntracranial stenting for patients with intracranial ICA atherosclerotic stenosis has a low perioperative stroke rate and decent outcome on long-term follow-up, despite a relatively high in-stent restenosis rate. http://www.dirjournal.org/archives/archive-detail/article-preview/severe-symptomatic-intracranial-internal-carotid-a/55528 |
| spellingShingle | Zi-Liang Wang Bu-Lang Gao Tian-Xiao Li Dong-Yang Cai Liang-Fu Zhu Jiang-Yu Xue Wei-Xing Bai Zhao-Shuo Li Severe symptomatic intracranial internal carotid artery stenosis treated with intracranial stenting: a single center study with 58 patients Diagnostic and Interventional Radiology |
| title | Severe symptomatic intracranial internal carotid artery stenosis treated with intracranial stenting: a single center study with 58 patients |
| title_full | Severe symptomatic intracranial internal carotid artery stenosis treated with intracranial stenting: a single center study with 58 patients |
| title_fullStr | Severe symptomatic intracranial internal carotid artery stenosis treated with intracranial stenting: a single center study with 58 patients |
| title_full_unstemmed | Severe symptomatic intracranial internal carotid artery stenosis treated with intracranial stenting: a single center study with 58 patients |
| title_short | Severe symptomatic intracranial internal carotid artery stenosis treated with intracranial stenting: a single center study with 58 patients |
| title_sort | severe symptomatic intracranial internal carotid artery stenosis treated with intracranial stenting a single center study with 58 patients |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/severe-symptomatic-intracranial-internal-carotid-a/55528
|
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