Treatment of intra- and extracranial arterial dissections using stents and embolization.
Cardiovasc Intervent Radiol
; 28(5): 595-602, 2005.
Article
em En
| MEDLINE
| ID: mdl-16132393
ABSTRACT
PURPOSE:
To evaluate the safety and efficacy of stent placement for extracranial and intracranial arterial dissections.METHODS:
Eighteen patients underwent endovascular treatment of carotid and vertebral dissections using intraluminal stent placement. Five patients with arterial dissection were treated, 2 using one insertion of a single stent and 3 using placement of two stents. Patients with a dissecting aneurysm were treated as follows 7 patients with insertion of one stent, 4 with placement of two stents, and 2 by stent-assisted Guglielmi detachable coil embolization. In the 18 patients in whom stenting was attempted, the overall success in reaching the target lesion was 94.4%. Of the 17 patients treated with stents, stent release and positioning were considered optimal in 16 (94%) and suboptimal in one (6%). In patients who underwent a successful procedure, all parent arteries were preserved. There were no instances of postprocedural ischemic attacks, new neurologic deficits, or new minor or major strokes prior to patient discharge. In follow up, all patients were assessed, using the modified Rankin scale, as functionally improved or of stable clinical status. The reduction in dissection-induced stenosis or pseudoaneurysm, the patency rate obtained at follow-up, and the lack of strokes (ischemic or hemorrhagic) suggest that stent placement offers a viable alternative to complex surgical bypass or reconstructive procedures. The long-term efficacy and durability of stent placement for arterial dissection remain to be determined in a larger series.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Stents
/
Aneurisma Intracraniano
/
Dissecação da Artéria Carótida Interna
/
Dissecação da Artéria Vertebral
/
Embolização Terapêutica
/
Dissecção Aórtica
Tipo de estudo:
Etiology_studies
/
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Cardiovasc Intervent Radiol
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Coréia do Sul