Zhonghua yi xue za zhi · 2002
[Stent-assisted angioplasty in treatment of symptomatic intracranial artery stenosis].
Клиническое исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Miao Zhongrong, Ling Feng, Li Shenmao, Wang Moli, Hua Yang, Guo Dongmei, Dong Yan, Song Qingbin
Аннотация
OBJECTIVE: To investigate the indications, safety and effectiveness of intracranial deployment of stents in treatment of systematic intracranial artery stenosis.
METHODS: Stent-assisted angioplasty was performed upon 7 consecutive patients with symptoms of intracranial artery stenosis unresponsive to anticoagulant therapy and antiplatelet therapy. The lesions involved the middle cerebral artery in 3 cases, distal end of internal carotid artery in one case, basilar artery in one case, and intracranial section of vertebral artery in 2 cases. Short-term clinical and angiographic data were obtained.
RESULTS: Symptoms of procedure-related intracranial hemorrhage and intracranial haematoma developed later were found in one patient. Emergency craniotomy was performed 5 hours after the stenosis-assisted angioplasty. The remaining patients experienced alleviation of symptoms without transient ischemic attack and apoplexy during the short-term follow-up. Angiography showed that the stenosis degree reduced from 83% to 5%. 0 - 3 months of follow-up by transcranial Doppler showed good patency of stented lesions.
CONCLUSION: Stent-assisted angioplasty effectively treats atherosclerotic intracranial stenosis lesions. Long-term follow-up and further clinical/technical research are still needed.
METHODS: Stent-assisted angioplasty was performed upon 7 consecutive patients with symptoms of intracranial artery stenosis unresponsive to anticoagulant therapy and antiplatelet therapy. The lesions involved the middle cerebral artery in 3 cases, distal end of internal carotid artery in one case, basilar artery in one case, and intracranial section of vertebral artery in 2 cases. Short-term clinical and angiographic data were obtained.
RESULTS: Symptoms of procedure-related intracranial hemorrhage and intracranial haematoma developed later were found in one patient. Emergency craniotomy was performed 5 hours after the stenosis-assisted angioplasty. The remaining patients experienced alleviation of symptoms without transient ischemic attack and apoplexy during the short-term follow-up. Angiography showed that the stenosis degree reduced from 83% to 5%. 0 - 3 months of follow-up by transcranial Doppler showed good patency of stented lesions.
CONCLUSION: Stent-assisted angioplasty effectively treats atherosclerotic intracranial stenosis lesions. Long-term follow-up and further clinical/technical research are still needed.