scholarly journals Stenting versus aggressive medical therapy for intracranial arterial stenosis: more harm than good

Critical Care ◽  
2012 ◽  
Vol 16 (3) ◽  
pp. 310 ◽  
Author(s):  
Muthanna Al Hasan ◽  
Raghavan Murugan
Keyword(s):  
Medical Therapy ◽  
Arterial Stenosis ◽  
Intracranial Arterial Stenosis

The Stenting versus Aggressive Medical Therapy for Intracranial Arterial Stenosis Trial: Reanalysis Using the FDA “On Label” Criteria

2020 ◽  
Vol 30 (6) ◽  
pp. 857-861
Author(s):  
Adnan I. Qureshi ◽  
Muhammad F. Ishfaq ◽  
Vamshi K. S. Balasetti ◽  
Iryna Lobanova ◽  
Guven Uzun ◽  
...  
Keyword(s):  
Medical Therapy ◽  
Arterial Stenosis ◽  
Intracranial Arterial Stenosis

scholarly journals Undersized angioplasty and stenting of symptomatic intracranial tight stenosis with Enterprise: Evaluation of clinical and vascular outcome

2015 ◽  
Vol 22 (2) ◽  
pp. 187-195 ◽  
Author(s):  
Kun-Yu Lee ◽  
David Yen-Ting Chen ◽  
Hui-Ling Hsu ◽  
Chi-Jen Chen ◽  
Ying-Chi Tseng
Keyword(s):  
Medical Therapy ◽  
Arterial Stenosis ◽  
Modified Rankin Scale ◽  
Intracranial Arterial Stenosis ◽  
Stent Deployment ◽  
Technical Success Rate ◽  
Stent Restenosis ◽  
Intracranial Atherosclerotic Disease ◽  
Stenotic Lesions

Background Severe intracranial arterial stenosis results in more than 10% incidence of stroke and transient ischemic attack. Using undersized angioplasty with off-label closed-cell Enterprise stent may be a feasible alternative option for treating patients with intracranial atherosclerotic disease who fail dual-antiplatelet medical therapy. The results of the authors’ study are presented in this paper. Materials and methods Between January 2013 and July 2014, 24 symptomatic patients with a total of 30 intracranial arterial stenotic lesions refractory to medical therapy, who underwent undersized angioplasty and Enterprise stenting, were retrospectively reviewed in the authors’ institution. The results evaluated include technical success rate, clinical outcome measured as modified Rankin Scale at presentation and follow-up, peri-procedural morbidity within 30 days and 1 year, and follow-up vessel patency. Results Stent deployment was successfully achieved in all stenotic lesions (30/30). Mean pre-stent and post-stent diameter residual stenosis was 81% and 18%, respectively. The peri-procedural complication rate during 30 days after stenting was 10% per lesion (3/30), including intracranial hemorrhage, in-stent thrombosis and ischemic stroke. No further thromboembolic event or complication occurred in any patient more than 30 days after stenting. Modified Rankin scale ≤ 2 was observed in 64% and 83% of patients at initial presentation and follow-up (mean 15.8 months), respectively. Imaging follow-up was available in 17 of 24 patients (70.8%) and 20 of 30 treated lesions (66.6%) with a mean follow-up period of 15.4 months. Only one asymptomatic in-stent restenosis occurred in 20 available lesions (5.0%). Conclusion This preliminary study suggests that using undersized angioplasty and Enterprise stenting may effectively treat high-degree symptomatic intracranial arterial stenosis with favorable clinical and angiographic outcome.

scholarly journals Stenting versus Aggressive Medical Therapy for Intracranial Arterial Stenosis

2011 ◽  
Vol 365 (11) ◽  
pp. 993-1003 ◽  
Author(s):  
Marc I. Chimowitz ◽  
Michael J. Lynn ◽  
Colin P. Derdeyn ◽  
Tanya N. Turan ◽  
David Fiorella ◽  
...  
Keyword(s):  
Medical Therapy ◽  
Arterial Stenosis ◽  
Intracranial Arterial Stenosis
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