scholarly journals E-108 Long term clinical and angiographic outcome with the intracranial stent for symptomatic intracranial stenosis

Author(s):  
S Park ◽  
S Seo ◽  
J Kim
Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Arash Padidar ◽  
Pejman Taghavi ◽  
Reza Malek ◽  
Ursula Tolley ◽  
Linda Catalli ◽  
...  

Introduction: Patients with pre-existing severe intracranial arterial stenosis are at increased risk of re-current stroke. The treatment modalities for patients presenting with acute stroke symptoms are limited due to risk of re-occlusion after thrombolysis. Following re-canalization of an occluded stenotic vessel, stenting can prevent re-occlusion. Currently the only FDA approved stent specifically indicated for intracranial stenosis is the wingspan stent which is listed as a Humanitarian Use Device (HUD). With the efficacy and safety of intracranial stenting still in question we present a 3 year retrospective review of a community based hospitals outcomes with stenting in an acute stroke setting. Methods: Between 2009-2012 our group treated 47 patients with intracranial stenosis presenting with acute ischemic stroke. These patients had failure of intravenous thrombolysis or had contraindications for its use, had symptomatic intracranial stenosis or tandem lesions, had evidence of salvageable tissue determined by CT perfusion scanning and had an acute infarct not exceeding 1/3 of the affected vascular territory. All patients were treated within 12 hours of the acute event and received the Wingspan intracranial stent after successful thrombolysis. Fifteen patients had posterior circulation stenosis and 32 patients had anterior circulation stenosis. Results: The 30 day post-procedural stroke rate was 12.8%, with a total early mortality rate of 8.4% (Table). The 35 patients with no complications had an average of 4 points improvement in NIHSS post procedure (Figure). Of these patients 15 were discharged home, 10 discharged to acute rehabilitation facilities, and 10 were transferred to nursing homes. Conclusion: Intracranial stenting using the Wingspan device results in significant clinical improvement in patients with acutely symptomatic intracranial stenosis, with acceptable mortality and low rate of symptomatic intracranial hemorrhage.


Stroke ◽  
2013 ◽  
Vol 44 (12) ◽  
pp. 3571-3572 ◽  
Author(s):  
Farhan Siddiq ◽  
Malik M. Adil ◽  
Kiersten Norby ◽  
Adnan I. Qureshi

2014 ◽  
Vol 71 (1) ◽  
pp. 413-418 ◽  
Author(s):  
Bing-Hu Li ◽  
Yan-Wei Yin ◽  
Chang-Yue Gao ◽  
Zi-Cheng Hu ◽  
Jian-Hong Wang ◽  
...  

2005 ◽  
Vol 11 (3) ◽  
pp. 269-275
Author(s):  
N. Fujimura ◽  
H. Yilmaz ◽  
G. Abdo ◽  
K. O. Lovblad ◽  
R. Sztajzel ◽  
...  

We present a case of a patient who received adjunct treatment with a self-expanding stent after balloon dilatation of a symptomatic stenosis of the carotid siphon. After predilatation, complementary angioplasty with a balloon-expandable stent was abolished due to lack of compliance of the delivery system. Since the vascular anatomy allows for the passage of balloon systems only, the stenosis was further dilated and a self-expanding stent was delivered to avoid the risk of complications related to dissection and vessel recoil. However, problem of in-stent stenosis remains at the long-term follow-up period.


Author(s):  
Sang Kyu Park ◽  
Sang Hyun Suh ◽  
Kyeong Sool Jang ◽  
Dong Kyu Jang ◽  
Dong Young Jo ◽  
...  

JAMA ◽  
2015 ◽  
Vol 313 (12) ◽  
pp. 1240 ◽  
Author(s):  
Osama O. Zaidat ◽  
Brian-Fred Fitzsimmons ◽  
Britton Keith Woodward ◽  
Zhigang Wang ◽  
Monika Killer-Oberpfalzer ◽  
...  

2013 ◽  
Vol 22 (7) ◽  
pp. 1131-1139 ◽  
Author(s):  
Osama O. Zaidat ◽  
Alicia C. Castonguay ◽  
Brian-Fred Fitzsimmons ◽  
Britton Keith Woodward ◽  
Zhigang Wang ◽  
...  

2013 ◽  
Vol 8 (1) ◽  
pp. 9 ◽  
Author(s):  
Soonchan Park ◽  
Dong-geun Lee ◽  
Won-Jung Chung ◽  
Deok Hee Lee ◽  
Dae Chul Suh

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