scholarly journals Adjunct Use of a Self-Expanding Stent for Treatment of Intracranial Stenosis

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.

1991 ◽  
Vol 68 (8) ◽  
pp. 821-822
Author(s):  
Janet N. Scheel ◽  
Timothy J. Gardner ◽  
Jean S. Kan

2018 ◽  
Vol 11 (2) ◽  
pp. 196-199 ◽  
Author(s):  
Ruben Mühl-Benninghaus ◽  
Alena Haußmann ◽  
Andreas Simgen ◽  
Toshiki Tomori ◽  
Wolfgang Reith ◽  
...  

Background and purposeIn recent years, implantation of flow diverters has emerged as an option for the endovascular treatment of intracranial aneurysms. One complication of treatment with flow diverters is the occurrence of in-stent stenosis, which has been reported to be partially reversible. The purpose of our study was to assess the incidence and dynamics of in-stent stenosis on angiographic short term and long term follow-up after treatment with flow diverters.MethodsA retrospective review of our prospectively maintained database identified all patients with intracranial internal carotid artery (ICA) aneurysms treated by flow diverters at our institution between 2014 and 2017. Clinical charts, procedural data, and angiographic results were reviewed.Results18 patients were included. The mean short term follow-up was 92±19 days and mean long term follow-up was 449±120 days after treatment. No neurologic complications were observed. There was no procedure related mortality. Long term angiographic results showed complete occlusion in 83.3%, neck remnants in 11.1%, and incomplete occlusion in 5.5% of cases. In-stent stenosis was observed in all cases. Mean stenosis improved significantly from 30% on short term follow-up to 12% on long-term follow-up (P<0.0001).ConclusionIn-stent stenosis is a common finding on short term follow-up after the treatment with flow diverters but improves over time.


2007 ◽  
Vol 51 (4) ◽  
pp. 351-357
Author(s):  
NK Bodhey ◽  
AK Gupta ◽  
KS Neelakandhan ◽  
PK Neema ◽  
TR Kapilamoorthy ◽  
...  

2021 ◽  
Vol 74 (3) ◽  
pp. e240-e241
Author(s):  
Mina L. Boutrous ◽  
Nadejda Maseto ◽  
Chia-Ling Kuo ◽  
Lucas Godoy ◽  
Kwame Amankwah

2013 ◽  
Vol 55 (4) ◽  
pp. 459-465 ◽  
Author(s):  
Zsolt Kulcsár ◽  
Sophia L. Göricke ◽  
Elke R. Gizewski ◽  
Marc Schlamann ◽  
Ulrich Sure ◽  
...  

2018 ◽  
Vol 39 (8) ◽  
pp. 1554-1560
Author(s):  
Sezen Ugan Atik ◽  
Ayşe Güler Eroğlu ◽  
Betül Çinar ◽  
Murat Tuğberk Bakar ◽  
İrfan Levent Saltik

2017 ◽  
Vol 7 (2) ◽  
pp. 138-141 ◽  
Author(s):  
Sudhir J Gupta ◽  
Nitin R Gaikwad ◽  
Amol R Samarth ◽  
Sonal R Gattewar

ABSTRACT Background Achalasia is a chronic disease that can be managed with effective endoscopic modalities. Aim To evaluate the effectiveness of single setting of pneumatic balloon dilatation for achalasia and assess the long-term success and outcomes. Materials and methods This is a retrospective study of all achalasia patients who underwent pneumatic balloon dilatation at our institute. Patients who could be contacted were inquired regarding their symptoms and dysphagia-free interval after dilatation. Results A total of 72 patients were enrolled. Out of this, 14 patients lost to follow-up. Mean age of 58 patients was 45.02 ± 16.51 years. Male:female ratio was 13:16. Mean predilatation Eckardt score was 7.16 ± 0.834. Type I achalasia was present in 10 (17.2%), type II in 44 (75.9%), type III in 4 (6.9%). Predilatation basal integrated relaxation pressure (IRP) was 28.14 ± 14.76 mm Hg. Postdilatation Eckardt score was 2.40 ± 1.67. Postdilatation dysphagia-free interval was 17.28 ± 6.70 months. A total of 9 patients (15.51%) failed to respond to first dilatation and 49 (84.48%) patients benefited from single setting of pneumatic dilatation. Esophageal perforation occurred in 2/58 (3.44%). We did not find any significant difference in gender distribution, age of presentation, duration of symptom, pre- and postdilatation Eckardt score, type of achalasia, and basal IRP on manometry between type of achalasia. Postdilatation dysphagia-free interval in type II achalasia (18.09 ± 5.976 months) was more than types I and III achalasia cardia (p = 0.066), which showed trend toward significance. Conclusion Pneumatic balloon dilatation of achalasia cardia is a highly effective endoscopic procedure with minimal complications and mortality. Even the single setting of dilatation can have long-lasting dysphagia-free interval. How to cite this article Gupta SJ, Gaikwad NR, Samarth AR, Gattewar SR. Pneumatic Balloon Dilatation for Achalasia Cardia: Outcome, Complications, Success, and Long-term Follow-up. Euroasian J Hepato-Gastroenterol 2017;7(2):138-141.


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