Analysis of periinterventional complications of intracranial angioplasty and stenting: a single center experience.

摘要: Abstract Background and purpose Treatment of symptomatic intracranial atherosclerotic disease by angioplasty stenting (PTAS) is limited a high rate periinterventional strokes. We performed detailed analysis these strokes at our center in order to identify strategies reduce the risk complications. Methods Case records imaging data 80 patients with 70–99% stenosis major artery treated PTAS between July 2007 December 2013 were reviewed. All had sufficient response aspirin clopidogrel. Periinterventional categorized as either ischemic (perforator territory, distal embolic or delayed stent thrombosis) hemorrhagic (intraparenchymal, subarachnoid). Results complications occurred 6/80 (7.5%) patients, consisting 2 (2.5%, both perforator territory), 3 (3.8%, intraparenchymal due reperfusion injury, 1 subarachnoid vessel rupture) one death (1.3%) unrelated stroke. within 24 h after PTAS. Conclusion Our retrospective suggests that stroke might be reduced antiplatelet therapy optimized management for injury strokes, including selection device adapted individual morphology.