scholarly journals Recanalization of Acute Mesenteric Artery Occlusion by Percutaneous Transluminal Angioplasty Followed by Stent Implantation

2018 ◽  
Vol 3 (1) ◽  
pp. 1-6
Author(s):  
João Lucas O’Connell ◽  
Keyword(s):  
Stent Implantation ◽  
Mesenteric Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Artery Occlusion ◽  
Percutaneous Transluminal ◽  
Mesenteric Artery Occlusion

Intra-Arterial Thrombolytic Therapy for Acute Vertebrobasilar Artery Occlusion

1997 ◽  
Vol 3 (2_suppl) ◽  
pp. 63-68
Author(s):  
Y. Kinoshita ◽  
T. Terada ◽  
E. Nakai ◽  
K. Nakai ◽  
T. Itakura ◽  
...  
Keyword(s):  
Percutaneous Transluminal Angioplasty ◽  
Recombinant Tissue Plasminogen Activator ◽  
Transluminal Angioplasty ◽  
Artery Occlusion ◽  
Residual Stenosis ◽  
Vertebrobasilar Artery ◽  
Tissue Plasminogen ◽  
Vertebrobasilar Artery Occlusion ◽  
Percutaneous Transluminal ◽  
Arterial Thrombolysis

We report on the results of intra-arterial thrombolysis in 11 patients with vertebrobasilar artery occlusion treated within 6 hours after onset of symptoms. Urokinase (5 patients) or recombinant tissue plasminogen activator (t-PA) (6 patients) was injected through a microcatheter conducted to the thrombus. Eight patients showed recanalization of the thrombus. The outcome was excellent in 5 patients, good in 2 patients, and poor in one patient. Recanalization could not be achieved in 3 of the 11 procedures; all patients in whom recanalization failed died. There were no hemorrhagic complications after thrombolysis. Two patients with residual stenosis after thrombolysis underwent successful percutaneous transluminal angioplasty (PTA) to prevent re-occlusion. Intra-arterial thrombolysis for vertebrobasilar artery occlusion is a safe and effective treatment if it is performed within 6 hours.

scholarly journals Endovascular management of chronic mesenteric ischemia: a single centre experience in Western Rajasthan, India

2017 ◽  
Vol 5 (6) ◽  
pp. 2572
Author(s):  
Pawan Sarda ◽  
Goutam Kumar ◽  
Deepak Gupta ◽  
Sanjeev Sanghvi ◽  
Anil Baroopal
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Inferior Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
Celiac Trunk ◽  
Transluminal Angioplasty ◽  
Chronic Mesenteric Ischemia ◽  
Percutaneous Transluminal

Background: Chronic mesenteric ischemia (CMI) or mesenteric angina is a condition characterised by inadequate blood supply to bowel as a result of stenosis affecting   one or more of the three mesenteric arteries: the celiac artery (CA), the superior mesenteric artery (SMA) and the inferior mesenteric artery (IMA).Methods: Ten patients with significant lesion, treated with PTA and stenting were selected for study and were followed at 2 weeks, at 2 months then at 6 months after index procedure to see composite of symptomatic improvement, weight gain and revascularization.Results: On mesenteric angiography, significant ostial stenosis of celiac trunk and superior mesenteric artery in 5 patients, 3 patients had significant ostial stenosis of celiac trunk and ostial stenosis of inferior mesenteric artery and 2 patients had significant stenosis of superior mesenteric artery. Percutaneous transluminal angioplasty (PTA) and stenting was done, final result was good and there was no residual stenosis and dissection. After stenting patients were stable and pain free. There were no post-operative complications. Follow up was done after 2 weeks and 2 months and then at six months. There was no postprandial abdominal pain on follow up and almost all patient had gained weight in 2 months and on 6 months of follow up, no case of repeat revascularization was recorded.Conclusions: Percutaneous transluminal angioplasty (PTA) and stenting to mesenteric artery is good alternative management of CMI. In present series, all cases were susses fully revascularized without residual stenosis and dissection.

Percutaneous transluminal angioplasty and stenting in acute stroke caused by basilar artery steno-occlusive disease: The experience of a single stroke centre

2021 ◽  
pp. 159101992110518
Author(s):  
Manuel Machado ◽  
Gonçalo Borges de Almeida ◽  
Marta Sequeira ◽  
Filipa Pedro ◽  
Alberto Fior ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Basilar Artery ◽  
Percutaneous Transluminal Angioplasty ◽  
Transluminal Angioplasty ◽  
Artery Occlusion ◽  
Occlusive Disease ◽  
Basilar Artery Occlusion ◽  
Basilar Artery Stenosis ◽  
Angioplasty And Stenting ◽  
Percutaneous Transluminal

Background Percutaneous transluminal angioplasty and stenting in acute stroke due to severe basilar artery stenosis or basilar artery occlusion remain a matter of debate. The higher risk of stroke recurrence in patients with vertebrobasilar stenosis compared to anterior circulation atherosclerotic disease creates high expectations concerning endovascular approaches. This study aims to review our experience with percutaneous transluminal angioplasty and stenting in acute stroke caused by basilar artery steno-occlusive disease. Methods Our prospective database from June 2014 until December 2020 was screened and patients with acutely symptomatic severe (>80%) basilar artery stenosis or acute basilar artery occlusion who underwent percutaneous transluminal angioplasty and stenting were analysed. Results Twenty-five patients included: 72% men (mean age 68.6 years), all with prior modified Rankin Scale <2. Twelve presented with acute basilar artery occlusion and were submitted to mechanical thrombectomy before percutaneous transluminal angioplasty and stenting, while the remaining had severe basilar artery stenosis. Successful stent placement was achieved in 22 (88%). Procedure-related complications included new small ischemic lesions (16%), basilar artery dissection (8%), vertebral artery dissection (12%) and death (12%). At 3 months post-percutaneous transluminal angioplasty and stenting, 10 out of 23 patients (43.5%) were independent (mRS ≤ 2) and six died. Fourteen patients underwent transcranial Doppler ultrasound 3 months post-percutaneous transluminal angioplasty and stenting: 12 showed residual stenosis, one significant stent restenosis and one presented stent occlusion. Conclusions Percutaneous transluminal angioplasty and stenting showed to be a technically feasible and reasonably safe procedure in selected patients. However, good clinical outcomes may be difficult to achieve as only 43.5% of the patients remained independent at 3 months. Randomized studies are needed to confirm the efficacy and safety outcomes of percutaneous transluminal angioplasty and stenting in acute stroke caused by basilar artery steno-occlusive disease.

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