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Published on: January 18, 2018
[Experience with transluminal stent-assisted angioplasty for intracranial vascular diseases]
Zhongrong Miu1, Feng Ling, Shenmao Li
1Department of Neurosurgery, Xuanwu Hospital, Capital University of Medical Sciences, Beijing 100053, China.
Objective:
To assess the value of stent-assistant angioplasty for intracranial vascular diseases.
Methods:
Thirteen patients with intracranial vascular diseases were treated consecutively by stent-assistant angioplasty for different purposes. Of these patients 7 had symptomatic intracranial artery stenosis, 3 intracranial wide-neck aneurysms, 2 intracranial pseudoaneurysms, and 1 bilateral transverse sinus stenosis. Clinical procedures and technical data of the patients were retrospectively analyzed.
Results:
In the 7 patients, the degree of intracranial artery stenosis reduced from 83% to 5%. Three months after the operation they exhibited good patency of stented lesions. Intracranial wide neck aneurysms (with 2 pseudoaneurysms) were successfully embolized with GDC in 5 patients. The patients with bilateral transverse sinus stenosis were implanted a self-expanded stent in the right transverse sinus. One patient failed because of the tortuous configuration of the left jugular bulb, but the patient's symptoms were improved quickly after the procedure.
Conclusion:
Stent-assistant angioplasty is a useful technique for selected intracranial vascular diseases, and it needs further investigation.