Initial experience with angioplasty of symptomatic M2 MCA atheromatous lesions.

Abstract:

BACKGROUND AND PURPOSE:Symptomatic intracranial atherosclerosis has been associated with a high rate of recurrent stroke. The safety of treatment of more distal atheromatous lesions with angioplasty has not been systematically reported. METHODS:We retrospectively reviewed our institutional database for all patients treated with intracranial angioplasty and stenting from January 2008 to July 2009. A total of 108 patients were treated and five patients were treated with angioplasty for a symptomatic M2 middle cerebral artery stenosis with fluctuating neurological examinations. We report our experience with these patients. RESULTS:All five patients underwent technically successful treatment with a reduction of the stenosis to <50%. There were no periprocedural complications and all patients had cessation of their clinical fluctuations. Two patients were found to have symptomatic restenosis with one patient suffering a disabling stroke at 5 months and the second patient a transient ischemic attack at 4 months who was subsequently successfully re-treated with angioplasty and stent placement. CONCLUSIONS:Angioplasty of M2 MCA lesions is technically feasible in our cohort of neurologically unstable patients, but the durability of this treatment will require more extensive study.

journal_name

J Neurointerv Surg

authors

Hussain MS,Cheng-Ching E,Bain M,Spiotta AM,Sivapatham T,Hui F,Moskowitz SI,Gupta R

doi

10.1136/jnis.2009.001818

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

192-4

issue

3

eissn

1759-8478

issn

1759-8486

pii

jnis.2009.001818

journal_volume

2

pub_type

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