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[Endovascular treatment of vertebral artery origin stenosis in high risk patients]

Osman Kizilkiliç1, Levent Oğuzkurt, Tülin Yildirim

  • 1Başkent Universitesi Adana Uygulama ve Araştirma Hastanesi, Radyoloji Kliniği, Adana, Turkey.

Tanisal Ve Girisimsel Radyoloji : Tibbi Goruntuleme Ve Girisimsel Radyoloji Dernegi Yayin Organi
|October 8, 2004
PubMed

Insights

Vertebral artery origin stenting is a safe and effective treatment for high-risk patients with atherosclerotic stenosis, preventing stroke and restenosis.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Atherosclerotic stenosis at the vertebral artery origin is a common cause of vertebrobasilar stroke.
  • High-risk patients with concomitant conditions often have poor outcomes with medical therapy alone.

Purpose of the Study:

  • To evaluate the safety and efficacy of primary stenting for vertebral artery origin stenosis in high-risk patients.

Main Methods:

  • 14 high-risk patients (58-74 years) with significant vertebral artery origin stenosis underwent primary stenting.
  • Stenoses were detected before coronary artery surgery or after posterior circulation stroke/vertebrobasilar insufficiency evaluation.
  • Successful stent placement was achieved in all patients.

Main Results:

  • All stenoses were successfully treated with stent placement.
  • One patient experienced a left posterior cerebral artery infarction; all others had uneventful procedures.
  • Follow-up (3-12 months) showed no stent restenosis or new neurologic deficits.

Conclusions:

  • Vertebral artery origin stenosis is a significant cause of vertebrobasilar stroke.
  • Primary stenting combined with medical treatment is a safe and effective option for high-risk patients.
  • This approach reduces the risk of stroke and restenosis.
Abstract

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