Angioplasty for Symptomatic Intracranial Stenosis. Clinical Outcome

作者: Michael P. Marks , Joan C. Wojak , Firas Al-Ali , Mahesh Jayaraman , Mary L. Marcellus

DOI: 10.1161/01.STR.0000206142.03677.C2

关键词: Middle cerebral arteryStrokeAngioplastyStenosisMortality rateMedicineBasilar arterySurgeryVascular diseaseCentral nervous system disease

摘要: Background and Purpose— Medical treatment of symptomatic intracranial stenosis carries a high risk stroke. This study was done to evaluate the clinical angiographic outcomes after angioplasty for this disease. Methods— A total 120 patients with 124 stenoses were treated by primary angioplasty. All had neurologic symptoms (stroke or transient ischemic attack) attributable ≥50%. Angiograms evaluated before degree stenosis. Results— Pretreatment varied from 50% 95% (mean 82.2±10.2). Post-treatment 0% 90% 36.0±20.1). There 3 strokes 4 deaths (all neurological) within 30 days procedure, giving combined periprocedural stroke death rate 5.8%. 116 (96.7%) available mean follow-up time 42.3 months. 6 who in territory 5 additional ot...

参考文章(20)
Ralph L. Sacco, D. E. Kargman, Qiong Gu, M. C. Zamanillo, Race-ethnicity and determinants of intracranial atherosclerotic cerebral infarction : the Northern Manhattan Stroke Study Stroke. ,vol. 26, pp. 14- 20 ,(1995) , 10.1161/01.STR.26.1.14
Wayne M Clark, Stanley L Barnwell, Gary Nesbit, Oisin R O’neill, Michael L Wynn, Bruce M Coull, None, Safety and Efficacy of Percutaneous Transluminal Angioplasty for Intracranial Atherosclerotic Stenosis Stroke. ,vol. 26, pp. 1200- 1204 ,(1995) , 10.1161/01.STR.26.7.1200
R. J. Wityk, D. Lehman, M. Klag, J. Coresh, H. Ahn, B. Litt, Race and Sex Differences in the Distribution of Cerebral Atherosclerosis Stroke. ,vol. 27, pp. 1974- 1980 ,(1996) , 10.1161/01.STR.27.11.1974
C. G. Benesch, M. I. Chimowitz, Best treatment for intracranial arterial stenosis? 50 years of uncertainty Neurology. ,vol. 55, pp. 465- 466 ,(2000) , 10.1212/WNL.55.4.465
Ju H. Lee, Sun U. Kwon, Jae H. Lee, Dae C. Suh, Jong S. Kim, Percutaneous transluminal angioplasty for symptomatic middle cerebral artery stenosis: long-term follow-up. Cerebrovascular Diseases. ,vol. 15, pp. 90- 97 ,(2003) , 10.1159/000067135
H. Yokote, T. Terada, K. Ryujin, Y. Konoshita, M. Tsuura, E. Nakai, I. Kamei, H. Moriwaki, S. Hayashi, T. Itakura, Percutaneous transluminal angioplasty for intracranial arteriosclerotic lesions Neuroradiology. ,vol. 40, pp. 590- 596 ,(1998) , 10.1007/S002340050651
Michael P. Marks, Mary Marcellus, Alexander M. Norbash, Gary K. Steinberg, David Tong, Gregory W. Albers, Outcome of angioplasty for atherosclerotic intracranial stenosis. Stroke. ,vol. 30, pp. 1065- 1069 ,(1999) , 10.1161/01.STR.30.5.1065
R. Gupta, H.C. Schumacher, S. Mangla, P.M. Meyers, H. Duong, A.G. Khandji, R.S. Marshall, J.P. Mohr, J. Pile-Spellman, Urgent endovascular revascularization for symptomatic intracranial atherosclerotic stenosis Neurology. ,vol. 61, pp. 1729- 1735 ,(2003) , 10.1212/01.WNL.0000103900.65021.5B
Adnan I. Qureshi, M. Fareed K. Suri, Wendy C. Ziai, Abutaher M. Yahia, Yousef Mohammad, Souvik Sen, Pinky Agarwal, Osama O. Zaidat, Jose I. Suarez, Robert J. Wityk, Stroke-free survival and its determinants in patients with symptomatic vertebrobasilar stenosis: a multicenter study. Neurosurgery. ,vol. 52, pp. 1033- 1040 ,(2003) , 10.1227/01.NEU.0000057744.96295.9F