Stenting treatment for intra- and extra-cranial atherosclerotic diseases

Area of Science:

• Neurology
• Vascular Surgery
• Interventional Cardiology

Background:

• Atherosclerotic diseases affecting extra- and intra-cranial arteries pose significant risks.
• Standard balloon angioplasty is not always suitable for high-grade stenoses.

Purpose of the Study:

• To evaluate the efficacy, safety, and short-term outcomes of stenting for extra- and intra-cranial atherosclerotic diseases.
• To assess stenting as a treatment modality for complex arterial stenoses.

Main Methods:

• Forty-one patients with atherosclerotic diseases underwent stenting using coronary and biliary stents.
• Procedures included stenting for both intra-cranial (11 patients) and extra-cranial (30 patients) arterial stenoses.
• Follow-up included arteriography at six months for restenosis assessment.

Main Results:

• Successful stent implantation was achieved in 88% of lesions (36/41) with an overall procedural morbidity rate of 2%.
• Intra-cranial stenting showed a 64% procedural and clinical success rate with 0% morbidity.
• Overall clinical success was 80% (33/41), with 12% restenosis at six months and no stent-related ischemic events or deformation.

Conclusions:

• Endovascular stent placement is a safe and effective treatment for extra- and intra-cranial atherosclerotic lesions not amenable to balloon angioplasty.
• Stenting provides a viable therapeutic option for complex atherosclerotic arterial disease.
• The study highlights the potential of stenting in improving outcomes for challenging vascular cases.