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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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
Subjects:
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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author Nabil A Metwally
Khalid M Sobh
Mahmoud M Hassan
Ali F El Hadad
Shoukry Abd Al Aziz
author_facet Nabil A Metwally
Khalid M Sobh
Mahmoud M Hassan
Ali F El Hadad
Shoukry Abd Al Aziz
author_sort Nabil A Metwally
collection DOAJ
description 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.
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spelling doaj.art-d7754f0107ad4315b0dc1d0ed51cc71d2022-12-21T21:29:52ZengWolters Kluwer Medknow PublicationsAl-Azhar Assiut Medical Journal1687-16932018-01-0116210511210.4103/AZMJ.AZMJ_27_18Angioplasty and drug-eluting stent for vertebral artery stenosisNabil A MetwallyKhalid M SobhMahmoud M HassanAli F El HadadShoukry Abd Al AzizObjective 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.http://www.azmj.eg.net/article.asp?issn=1687-1693;year=2018;volume=16;issue=2;spage=105;epage=112;aulast=Metwallyangioplastyendovascularstentingvertebral artery
spellingShingle Nabil A Metwally
Khalid M Sobh
Mahmoud M Hassan
Ali F El Hadad
Shoukry Abd Al Aziz
Angioplasty and drug-eluting stent for vertebral artery stenosis
Al-Azhar Assiut Medical Journal
angioplasty
endovascular
stenting
vertebral artery
title Angioplasty and drug-eluting stent for vertebral artery stenosis
title_full Angioplasty and drug-eluting stent for vertebral artery stenosis
title_fullStr Angioplasty and drug-eluting stent for vertebral artery stenosis
title_full_unstemmed Angioplasty and drug-eluting stent for vertebral artery stenosis
title_short Angioplasty and drug-eluting stent for vertebral artery stenosis
title_sort angioplasty and drug eluting stent for vertebral artery stenosis
topic angioplasty
endovascular
stenting
vertebral artery
url 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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AT khalidmsobh angioplastyanddrugelutingstentforvertebralarterystenosis
AT mahmoudmhassan angioplastyanddrugelutingstentforvertebralarterystenosis
AT alifelhadad angioplastyanddrugelutingstentforvertebralarterystenosis
AT shoukryabdalaziz angioplastyanddrugelutingstentforvertebralarterystenosis