Adjuvant revascularization of intracranial artery occlusion with angioplasty and/or stenting.

Abstract:

INTRODUCTION:In conjunction with intravenous and/or intra-arterial thrombolysis, adjuvant revascularization of intracranial artery occlusion by angioplasty vs. stenting remains controversial. We evaluated outcome in patients with intracranial occlusion after angioplasty and/or stenting. MATERIALS AND METHODS:Thirty-three patients who underwent angioplasty or stenting (17 stenting and 16 angioplasty) for intracranial arterial occlusion during the past 5 years were enrolled from prospective neurointerventional database. We compared recanalization rate [defined as thrombolysis in myocardial infarction (TIMI) grade II/III flow], adverse events, and clinical outcome [modified Rankin scale (mRS) at 1 and 6 months]. We also tried to determine independent variables associated with clinical outcome. RESULTS:Median initial National Institutes of Health Stroke Scale (NIHSS) was 13 and median time to treatment was 12 h from symptom onset. The successful recanalization rate was mean 79%. Symptomatic hemorrhage occurred in 15% (5/33). Events (27%, 9/33) at 1 month included four deaths, four major, and one minor stroke. Good outcome (mRS

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Choi JW,Kim JK,Choi BS,Kim JH,Hwang HJ,Kim JS,Kim SJ,Suh DC

doi

10.1007/s00234-008-0462-y

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

33-43

issue

1

eissn

0028-3940

issn

1432-1920

journal_volume

51

pub_type

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