論文

査読有り
2017年1月

Effectiveness of Intracranial Percutaneous Transluminal Angioplasty or Stenting for Atherosclerotic Vertebrobasilar Artery Occlusion in the Acute Phase of Ischemic Stroke

WORLD NEUROSURGERY
  • Daisuke Wajima
  • ,
  • Shuta Aketa
  • ,
  • Ichiro Nakagawa
  • ,
  • Katsuya Masui
  • ,
  • Taiji Yonezawa
  • ,
  • Tomomi Enami
  • ,
  • Fukuko Nishida
  • ,
  • Hiroyuki Nakase

97
開始ページ
253
終了ページ
260
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.wneu.2016.09.106
出版者・発行元
ELSEVIER SCIENCE INC

OBJECTIVE: Although short-term clinical outcomes after basilar artery stent placement have been reported previously, effectiveness of intracranial stenting for vertebrobasilar artery occlusion in the acute phase of ischemic stroke is unclear.
METHODS: We clinically investigated 8 patients with intracranial percutaneous transluminal angioplasty (PTA) or stenting as our protocol for symptomatic atherosclerotic vertebrobasilar artery occlusion (age range, 54-80 years; mean age, 69 +/- 11 years; 6 men and 2 women) who were admitted to our hospital between August 2013 and December 2015.
RESULTS: Two patients underwent PTA of the vertebrobasilar artery 2-5 months before stent placement. The other 6 patients underwent intracranial stenting just after PTA. Within the first 30 days after vertebrobasilar artery stent placement, 2 ischemic stroke complications affected patients. Ischemic complications were significantly associated with prestent lesion lumen greater than 0.5 mm. The modified Rankin Scale score and clinical outcome were significantly associated with complications. Clinical outcomes correlate with ischemic complications and vertebrobasilar anatomy.
CONCLUSIONS: Stent angioplasty may be a reasonably good treatment option for patients with technically favorable lesions, especially in vertebrobasilar atherosclerotic occlusion with medically or PTA only refractory symptoms. Despite a significant complication rate, most of our patients experienced good to excellent clinical outcomes and were free of vertebrobasilar ischemia at late midterm follow-up.

リンク情報
DOI
https://doi.org/10.1016/j.wneu.2016.09.106
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/27729300
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000396449400035&DestApp=WOS_CPL
ID情報
  • DOI : 10.1016/j.wneu.2016.09.106
  • ISSN : 1878-8750
  • eISSN : 1878-8769
  • PubMed ID : 27729300
  • Web of Science ID : WOS:000396449400035

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