Vertebral artery stenting

被引:56
作者
Jenkins, JS [1 ]
White, CJ [1 ]
Ramee, SR [1 ]
Collins, TJ [1 ]
Chilakamarri, VK [1 ]
McKinley, KL [1 ]
Jain, SP [1 ]
机构
[1] Alton Ochsner Med Fdn & Ochsner Clin, Dept Cardiol, New Orleans, LA 70121 USA
关键词
vetebrobasilar insufficiency; brachiocephalic angioplasty; PTA percutaneous transluminal angioplasty;
D O I
10.1002/ccd.1228
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The safety and efficacy of endoluminal stenting in treating atherosclerotic vertebral artery disease was evaluated in 38 vessels in 32 patients. Indications for revascularization included diplopia (n = 4), blurred vision (n = 4), dizziness (n = 23), transient ischemic attacks (n = 4), drop attack (n = 1), gait disturbance (n = 1), headache (n = 2), and asymptomatic critical stenosis (n = 1). Success (< 20% residual diameter stenosis, without stroke or death) was achieved in all 32 patients (100%). One patient experienced a transient ischemic attack (TIA) I hr after the procedure. At follow-up (mean, 10.6 months), all patients (100%) were alive and 31/32 (97%) were asymptomatic. One patient (3%) had in-stent restenosis at 3.5 months and underwent successful balloon angioplasty. Endoluminal stenting of vertebral artery lesions is safe, effective, and durable as evidenced by the low recurrence rate. Primary stent placement is an attractive option for atherosclerotic vertebral artery stenotic lesions. (C) 2001 Wiley-Liss, Inc.
引用
收藏
页码:1 / 5
页数:5
相关论文
共 21 条
  • [11] Treatment of posterior circulation ischemia with extracranial percutaneous balloon angioplasty and stent placement
    Malek, AM
    Higashida, RT
    Phatouros, CC
    Lempert, TE
    Meyers, PM
    Gress, DR
    Dowd, CF
    Halbach, VV
    [J]. STROKE, 1999, 30 (10) : 2073 - 2085
  • [12] Vertebral artery surgery
    Molnar, RG
    Naslund, TC
    [J]. SURGICAL CLINICS OF NORTH AMERICA, 1998, 78 (05) : 901 - +
  • [13] Motarjeme A, 1996, J ENDOVASC SURG, V3, P171, DOI 10.1583/1074-6218(1996)003<0171:PTASAV>2.0.CO
  • [14] 2
  • [15] PERCUTANEOUS TRANS-LUMINAL ANGIOPLASTY OF THE VERTEBRAL ARTERIES
    MOTARJEME, A
    KEIFER, JW
    ZUSKA, AJ
    [J]. RADIOLOGY, 1981, 139 (03) : 715 - 717
  • [16] Positional vertebrobasilar transient ischaemic attacks treated with vertebral angioplasty
    Ruigrok, Y
    Cox, TCS
    Markus, HS
    [J]. CEREBROVASCULAR DISEASES, 1999, 9 (03) : 171 - 174
  • [17] SMITH RB, 1992, HEART, P2235
  • [18] Vertebral artery stenting following percutaneous transluminal angioplasty - Technical note
    Storey, GS
    Marks, MP
    Dake, M
    Norbash, AM
    Steinberg, GK
    [J]. JOURNAL OF NEUROSURGERY, 1996, 84 (05) : 883 - 887
  • [19] SUNDT TM, 1980, MAYO CLIN PROC, V55, P673
  • [20] Transluminal angioplasty for arteriosclerotic disease of the distal vertebral and basilar arteries
    Terada, T
    Higashida, RT
    Halbach, VV
    Dowd, CF
    Nakai, E
    Yokote, H
    Itakura, T
    Hieshima, GB
    [J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1996, 60 (04) : 377 - 381