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Title of Journal: CVIR

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Abbravation: CardioVascular and Interventional Radiology

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Springer-Verlag

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DOI

10.1016/0040-1951(94)90156-2

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1432-086X

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Angioplasty or Stenting of Extra and Intracrani

Authors: Elke AM Hauth H Martin Gissler Robert Drescher Christian Jansen Horst J Jaeger Klaus D Mathias
Publish Date: 2003/12/15
Volume: 27, Issue: 1, Pages: 51-57
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Abstract

Purpose To determine the feasibility and safety of angioplasty or angioplasty and stenting of extra and intracranial vertebral artery VA stenosis Methods In 16 consecutive patients 9 men 7 women mean age 61 years range 49–74 years 16 stenotic VAs were treated with angioplasty or angioplasty and stenting Eleven stenoses were localized in V1 segment 1 stenosis in V2 segment and 4 stenoses in V4 segment of VA Fourteen VA stenoses were symptomatic 2 asymptomatic The etiology of the stenoses was atherosclerotic in all cases Results Angioplasty was performed in 8 of 11 V1 and 2 of 4 V4 segments of the VA In 3 of 11 V1 segments and 2 of 4 V4 segments of the VA we combined angioplasty with stenting The procedures were successfully performed in 14 of 16 VAs 87 Complications were asymptomatic vessel dissection resulting in vessel occlusion in 1 of 11 V1 segments and asymptomatic vessel dissection in 2 of 4 V4 segments of the VA One patient died in the 24hr period after the procedure because of subarachnoid hemorrhage as a complication following vessel perforation of the treated V4 segment Conclusion Angioplasty or angioplasty and stenting of extracranial VA stenoses can be performed with a high technical success rate and a low complication rate In intracranial VA stenosis the procedure is technically feasible but complications can be lifethreatening The durability and procedural complication rates of primary stenting without using predilation in extra and intracranial VA stenosis should be defined in the future

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