Abstract:
PURPOSE:This study aimed to retrospectively analyze a series of patients with complex posterior circulation stenosis who underwent stent-assisted angioplasty to evaluate the feasibility of the procedure and summarize the experience with regard to complications. METHODS:A total of 16 consecutive patients with 27 complex posterior circulation artery stenoses refractory to medical therapy were enrolled. Technical success rate, periprocedural complication, and long-term follow-up result were evaluated. RESULTS:The study population included 16 patients with 27 lesions. A total of 36 stents were successfully implanted. The technical success rate was 100%, and the overall periprocedural complication rate was 12.5% (2/16). During a median of 25.5 months of follow-up, three patients presented recurrent transient ischemic attacks, which were confirmed had restenosis more than 50% by control angiography or transcranial Doppler. CONCLUSIONS:Stent-assisted angioplasty is a feasible treatment method for complex posterior circulation artery stenosis. However, it appears to be associated with a relatively high periprocedural complication rate. Therefore, strict periprocedural management to reduce mortality and morbidity is needed.
journal_name
Neuroradiologyjournal_title
Neuroradiologyauthors
Wang B,Miao ZR,Li GL,Hua Y,Ji XM,Jiao LQ,Wang RZ,Ling Fdoi
10.1007/s00234-009-0503-1subject
Has Abstractpub_date
2009-05-01 00:00:00pages
319-26issue
5eissn
0028-3940issn
1432-1920journal_volume
51pub_type
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