Angioplasty and drug-eluting stent for vertebral artery stenosis

Objective To study the efficacy, safety, and feasibility of angioplasty and drug-eluting stents (DESs) in the treatment of vertebral artery stenosis. Patients and methods The study was carried out on 20 patients (17 patients with vertebral artery endovascular stenting and three patients with angiop...

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Bibliographic Details
Main Authors: Nabil A Metwally, Khalid M Sobh, Mahmoud M Hassan, Ali F El Hadad, Shoukry Abd Al Aziz
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Al-Azhar Assiut Medical Journal
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Online Access:http://www.azmj.eg.net/article.asp?issn=1687-1693;year=2018;volume=16;issue=2;spage=105;epage=112;aulast=Metwally
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Summary:Objective To study the efficacy, safety, and feasibility of angioplasty and drug-eluting stents (DESs) in the treatment of vertebral artery stenosis. Patients and methods The study was carried out on 20 patients (17 patients with vertebral artery endovascular stenting and three patients with angioplasty alone). The success rate, perioperative complications, and long-term effectiveness were evaluated. Results A total of 17 DESs were implanted and three patients with angioplasty alone. The success rate was 100%. The degree of stenosis decreased from 78.25±10.17 to 11.50±7.45% (P<0.01). Complications were absent during the perioperative period. Follow-up was performed for 6 months. Two patients developed transient ischemic attack and one of them developed stroke and no cerebral ischemic events were noted in the remaining patients, suggesting a favorable outcome. Conclusion Angioplasty and DESs is a safe and effective strategy for the treatment of symptomatic vertebral artery stenosis.
ISSN:1687-1693