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Coronary stent implantation for acute basilar artery occlusion with underlying stenosis

Sándor Nardai1, Balázs Kis, István Gubucz

  • 1Department Section of Neurointervention, Semmelweis University Department of Neurosurgery, National Institute of Clinical Neurosciences, Budapest, Hungary.

Eurointervention : Journal of Europcr in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
|July 30, 2019
PubMed

Insights

Coronary stent implantation during endovascular treatment for basilar artery occlusion with intracranial atherosclerotic stenosis improves survival and functional outcomes. This intervention reduces residual stenosis and enhances recovery chances.

Area of Science:

  • Neuroendovascular therapy
  • Cerebrovascular diseases
  • Interventional neurology

Background:

  • Acute basilar artery occlusion (BAO) with underlying intracranial atherosclerotic stenosis (ICAS) presents significant challenges.
  • Standard endovascular treatment (EVT) outcomes for BAO with ICAS are often suboptimal.

Purpose of the Study:

  • To evaluate the effectiveness of immediate coronary stent implantation during EVT for BAO with ICAS.
  • To assess the impact of stenting on clinical outcomes, including survival and functional recovery.

Main Methods:

  • Retrospective analysis of 91 BAO patients undergoing EVT.
  • Comparison of outcomes between patients with and without ICAS.
  • Assessment of stenting versus non-stenting in BAO-ICAS patients.

Main Results:

  • BAO patients with ICAS had longer reperfusion times, lower reperfusion rates, and higher mortality compared to those without ICAS.
  • Stenting in BAO-ICAS patients significantly reduced residual stenosis.
  • Patients treated with stents showed higher chances of functional recovery and survival.

Conclusions:

  • Immediate coronary stent implantation in BAO with underlying ICAS improves overall survival.
  • Stenting combined with dual antiplatelet therapy (DAPT) leads to better functional outcomes in these patients.
Abstract

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