scholarly journals Distal vertebral artery reconstruction: Long-term outcome

2002 ◽  
Vol 36 (3) ◽  
pp. 549-554 ◽  
Author(s):  
Edouard Kieffer ◽  
Barbara Praquin ◽  
Laurent Chiche ◽  
Fabien Koskas ◽  
Amine Bahnini
1998 ◽  
Vol 12 (3) ◽  
pp. 270-277 ◽  
Author(s):  
Mark J. Kulbaski ◽  
Andrzej S. Kosinski ◽  
Robert B. Smith ◽  
Atef A. Salam ◽  
Thomas F. Dodson ◽  
...  

2016 ◽  
Vol 27 (3) ◽  
pp. 345-350 ◽  
Author(s):  
Y.-B. Fang ◽  
W.-L. Wen ◽  
P.-F. Yang ◽  
Y. Zhou ◽  
Y.-N. Wu ◽  
...  

Neurosurgery ◽  
2011 ◽  
Vol 70 (1) ◽  
pp. 82-90 ◽  
Author(s):  
Tomonori Iwata ◽  
Takahisa Mori ◽  
Hiroyuki Tajiri ◽  
Yuichi Miyazaki ◽  
Masahito Nakazaki

Abstract BACKGROUND Long-term angiographic and clinical outcome following stenting by flow reversal technique (FRT) for chronic occlusions (COs) of the cervical internal carotid artery (ICA) or vertebral artery (VA) is unknown. OBJECTIVE The aim of our retrospective study was to investigate the feasibility, safety, and long-term outcome of stenting by FRT for COs of the cervical ICA or VA. METHODS Included for analysis were patients (1) who underwent stenting for COs of the ICA or VA older than 3 months by FRT, and (2) who finished at least 1-year follow-up angiographic and clinical investigation. Criteria of stenting for CO in the ICA or VA were patients (1) who experienced minor strokes, a transient ischemic attack, or transient symptoms probably due to hemodynamic compromise or insufficiency, (2) angiographic complete occlusion of the ICA or VA, and (3) occlusion limited in the cervical area of the affected artery. RESULTS During the study period, 6 patients underwent stenting by FRT for cervical COs successfully, ICAs in 4 cases and VAs in 2 cases. The prestenting angiographically estimated occlusion length ranged from 50 to 130 mm. Total length of the deployed stents ranged from 30 to 108 mm. No complications occurred during the periprocedural period. Neither transient ischemic events nor restenosis has occurred during the follow-up period. CONCLUSION COs of the cervical carotid or vertebral arteries older than 3 months can be opened safely with FRT, and 1-year angiographic and long-term clinical outcome is favorable.


2010 ◽  
Vol 52 (5) ◽  
pp. 371-379 ◽  
Author(s):  
Alexander Karameshev ◽  
Gerhard Schroth ◽  
Pasquale Mordasini ◽  
Jan Gralla ◽  
Caspar Brekenfeld ◽  
...  

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Seung Hoon Song ◽  
Joon Hwa Lee ◽  
So Young Moon ◽  
Hahn Young Kim

Backgrounds Atherosclerosis of vertebrobasilar artery is a major cause of the ischemic stroke in the posterior circulation. Vertebral artery ostium stenosis (VAOS) is occasionally observed in patients with acute ischemic stroke in anterior or posterior circulation. However, VAOS as a risk for stroke recurrence, especially for the posterior circulation stroke, has not been well studied. This study was performed to determine long-term outcome and clinical significance of VAOS in acute ischemic stroke patients. Methods As a prospective observational study of single stroke center registry, we studied risk of recurrent stroke and vascular outcome in acute ischemic stroke patients with VAOS, recruited consecutively from December 2007 to December 2010. VAOS was defined as more than 50% stenosis of either vertebral artery ostium on a contrast-enhanced MRA. Vascular risk factors and long-term outcome including recurrent stroke, cardiovascular event, vascular mortality, or all-cause mortality were investigated. Results Of 773 acute ischemic stroke patients, underwent contrast-enhanced MRA, 149 (19.2%) had more than 50% VAOS (age, 70±10 years). All patients had intensive medical treatment and 11 patients underwent angioplasty and stenting. During 327 patient-years of follow-up (mean, 2.2 years), there were 8 ischemic (3 in posterior circulation, 5 in anterior circulation), 5 hemorrhagic, and 2 unknown stroke. The annual rate of events were 1.36% for posterior circulation ischemic stroke, 3.64% for all ischemic stroke, 5.91% for all stroke, 1.36% for vascular death, and 9.55% for all cause mortality. Symptomatic VAOS, concomitant stenosis of other vertebrobasilar arteries or carotid arteries, or stroke subtype was not associated with long-term outcome. Conclusions Long-term outcome of acute ischemic stroke patients with more than 50% VAOS was favorable on intensive medical treatment and selective angioplasty and stenting. Vertebral artery ostium stenosis may not be a major risk factor for the recurrent ischemic stroke in the posterior circulation.


1994 ◽  
Vol 28 (7) ◽  
pp. 471-479 ◽  
Author(s):  
Paul E. Y. Van Schil ◽  
Robert G. A. Ackerstaff ◽  
Freddy E. E. Vermeulen ◽  
Bert C. Eikelboom ◽  
Marc A. A. Schepens

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