scholarly journals Acute Symptomatic Basilar Artery Stenosis: MR Imaging Predictors of Early Neurologic Deterioration and Long-term Outcomes

Radiology ◽  
2016 ◽  
Vol 280 (1) ◽  
pp. 193-201 ◽  
Author(s):  
Woo-Jin Lee ◽  
Keun-Hwa Jung ◽  
Young Jin Ryu ◽  
Keon-Joo Lee ◽  
Soon-Tae Lee ◽  
...  
2016 ◽  
Vol 22 (3) ◽  
pp. 318-324 ◽  
Author(s):  
Wei-Xing Bai ◽  
Bu-Lang Gao ◽  
Tian-Xiao Li ◽  
Zi-Liang Wang ◽  
Dong-Yang Cai ◽  
...  

Objective To investigate the safety and long-term effect of using the Wingspan stent for severe symptomatic atherosclerotic basilar artery stenosis (≥70%). Materials and methods Between July 2007 and April 2013, we had 91 consecutive patients (age range 41–82 years old) with symptomatic severe basilar stenosis (70–99%) who underwent Wingspan stenting at our center. All patients had stenosis-related temporary ischemic attack or strokes. We analyzed the demographic data, pre- and post-procedural cerebral angiography, technical success rate, peri-procedural complications, and clinical and imaging follow-ups. Results The Wingspan stenting procedure was successful in all patients: The stenosis was reduced from 82.2% ± 5.8% pre-stenting to 15.9% ± 5.7% post-stenting. The 30-day peri-operative rate for stroke or death was 14.3%, which included ischemic stroke in 12 cases (12/91 = 13.2%) and subarachnoid hemorrhage in one case (1/91 = 1.1%), with a fatal or disabling stroke rate of 2.2%. Among the 77 patients with clinical follow-up assessment within 7–60 months (mean 31.3 ± 15.1 months) after stenting, four patients (5.2%) had posterior ischemia, including one patient with disabling ischemic stroke (1.3%) and three patients (3.9%) with temporary ischemic attack. The 2-year cumulative stroke rate was 16% (95% CI: 8.2–23.8%). Among 46 patients with imaging assessments at 3–45 months (mean, 9.5 ± 8.3) post-stenting, six (13.0%) patients had restenosis, including two (2/46 = 4.3%) with symptomatic restenosis. Conclusions The benefit of stenting for patients with severe basilar artery stenosis (> 70%) may lie in lowering the long-term fatal and disabling stroke rate; and as long as the peri-operative stroke rate can be kept at a relatively lower level, patients with severe basilar stenosis can benefit from basilar artery stenting.


Neurology ◽  
2005 ◽  
Vol 65 (8) ◽  
pp. 1340-1341 ◽  
Author(s):  
O. O. Zaidat ◽  
T. P. Smith ◽  
M. J. Alexander ◽  
W. Yu ◽  
W.S. Smith ◽  
...  

Neurology ◽  
2005 ◽  
Vol 64 (6) ◽  
pp. 1055-1057 ◽  
Author(s):  
W. Yu ◽  
W. S. Smith ◽  
V. Singh ◽  
N. U. Ko ◽  
S. P. Cullen ◽  
...  

2016 ◽  
Vol 75 (Suppl 2) ◽  
pp. 289.2-289
Author(s):  
A. Casian ◽  
S. Sangle (joint first author) ◽  
S. ManouStathopoulou ◽  
N. Jordan ◽  
D. D'Cruz

2004 ◽  
Vol 34 (9) ◽  
pp. 913 ◽  
Author(s):  
Chang Mo Moon ◽  
Sung Ha Chun ◽  
Jin Bae Kim ◽  
Jae Hun Jung ◽  
Young Guk Ko ◽  
...  

Stroke ◽  
2000 ◽  
Vol 31 (1) ◽  
pp. 95-99 ◽  
Author(s):  
Camilo R. Gomez ◽  
Vijay K. Misra ◽  
Ming W. Liu ◽  
Van R. Wadlington ◽  
John B. Terry ◽  
...  

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