scholarly journals Current Status and Future of Endovascular Therapy for Intracranial Artery Stenosis

2020 ◽  
Vol 29 (10) ◽  
pp. 697-701
Author(s):  
Shinichi Yoshimura ◽  
Toshinori Takagi ◽  
Kazutaka Uchida ◽  
Manabu Shirakawa ◽  
Yasushi Matsumoto ◽  
...  
Keyword(s):  
Endovascular Therapy ◽  
Artery Stenosis ◽  
Current Status ◽  
Intracranial Artery ◽  
Intracranial Artery Stenosis

scholarly journals Current Status of Endovascular Therapy for Intracranial Artery Stenosis from the Results of a Nationwide Survey

2019 ◽  
Vol 13 (12) ◽  
pp. 487-493 ◽  
Author(s):  
Toshinori Takagi ◽  
Yasushi Matsumoto ◽  
Ryo Itabashi ◽  
Kenichi Sato ◽  
Shinichi Yoshimura
Keyword(s):  
Endovascular Therapy ◽  
Nationwide Survey ◽  
Artery Stenosis ◽  
Current Status ◽  
Intracranial Artery ◽  
Intracranial Artery Stenosis

scholarly journals Endovascular Therapy Versus Medical Treatment for Symptomatic Intracranial Artery Stenosis

Stroke ◽  
2021 ◽  
Vol 52 (2) ◽  
Author(s):  
Tao Wang ◽  
Jichang Luo ◽  
Xue Wang ◽  
Kun Yang ◽  
Vikram Jadhav ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Endovascular Therapy ◽  
Artery Stenosis ◽  
Intracranial Artery ◽  
Intracranial Artery Stenosis

scholarly journals Safety of endovascular therapy for symptomatic intracranial artery stenosis: a national prospective registry

2021 ◽  
pp. svn-2021-000979
Author(s):  
Yabing Wang ◽  
Tao Wang ◽  
Adam Andrew Dmytriw ◽  
Kun Yang ◽  
Liqun Jiao ◽  
...  
Keyword(s):  
Endovascular Therapy ◽  
Real World ◽  
High Volume ◽  
Artery Stenosis ◽  
Arterial Stenosis ◽  
Intracranial Artery ◽  
Moderate Volume ◽  
Intracranial Artery Stenosis ◽  
Low Volume ◽  
The Impact

IntroductionThe safety outcomes of endovascular therapy for intracranial artery stenosis in a real-world stetting are largely unknown. The Clinical Registration Trial of Intracranial Stenting for Patients with Symptomatic Intracranial Artery Stenosis (CRTICAS) was a prospective, multicentre, real-world registry designed to assess these outcomes and the impact of centre experience.Methods1140 severe, symptomatic intracranial arterial stenosis (ICAS) patients treated with endovascular therapy were included from 26 centres, further divided into three groups according to the annual centre volume of intracranial angioplasty and stent placement procedures over 2 years: (1) high volume for ≥25 cases/year; (2) moderate volume for 10–25 cases/year and (3) low volume for <10 cases/year.ResultsThe rate of 30-day stroke, transient ischaemic attack or death was 9.7% (111), with 5.4%, 21.1% and 9.7% in high-volume, moderate-volume and low-volume centres, respectively (p<0.05). Multivariable logistic regression confirmed high-volume centres had a significantly lower primary endpoint compared with moderate-volume centres (OR=0.187, 95% CI: 0.056 to 0.627; p≤0.0001), while moderate-volume and low-volume centres showed no significant difference (p=0.8456).ConclusionCompared with the preceding randomised controlled trials, this real-world, prospective, multicentre registry shows a lower complication rate of endovascular treatment for symptomatic ICAS. Non-uniform utilisation in endovascular technology, institutional experience and patient selection in different volumes of centres may have an impact on overall safety of this treatment.

scholarly journals Endovascular Therapy for Intracranial Artery Stenosis: Results from the Japanese Registry of Neuroendovascular Therapy (JR-NET)3

2020 ◽  
Vol 60 (5) ◽  
pp. 256-263 ◽  
Author(s):  
Takashi IZUMI ◽  
Masahiro NISHIBORI ◽  
Hirotoshi IMAMURA ◽  
Koji IIHARA ◽  
Nobuyuki SAKAI ◽  
...  
Keyword(s):  
Endovascular Therapy ◽  
Artery Stenosis ◽  
Intracranial Artery ◽  
Intracranial Artery Stenosis

scholarly journals Bypass Surgery for Ischemic Stroke Caused by Intracranial Artery Stenosis or Occlusion

2018 ◽  
Vol 4 (1) ◽  
pp. 49-60 ◽  
Author(s):  
Ismatullah Soufiany ◽  
Khalil Ahmad Hijrat ◽  
Spina Soufiany ◽  
Lukui Chen
Keyword(s):  
Ischemic Stroke ◽  
Cerebral Artery ◽  
Vegetative State ◽  
Superficial Temporal Artery ◽  
Case Series ◽  
Temporal Artery ◽  
Artery Stenosis ◽  
Intracranial Stenosis ◽  
Intracranial Artery ◽  
Intracranial Artery Stenosis

Surgical revascularization may be beneficial in patients with ischemic stroke caused by intracranial stenosis or occlusion who are ineligible for thrombolysis. Objective To evaluate the outcome of superficial temporal artery to middle cerebral artery (STA-MCA) bypass in ischemic stroke caused by intracranial artery stenosis or occlusion. Methods We retrospectively studied successive case series of 19 patients who underwent surgical treatment between 2013–2017 of STA-MCA bypass. Surgical procedure was performed for the patients with acute ischemic stroke who were ineligible for thrombolysis. Results Of the 19 patients enrolled, symptom aggravation occurred during medical treatment, the patients were ineligible for thrombolysis despite being within 8 hours of symptom onset. Bypass significantly improved National Institutes of Health Stroke Scale scores, mean patient age was 78.05 years (range, 39–78 y). However, male 11 (57.95%) out of nineteen patients were presented with left-sided-lesions while female 8 (42%) had right-sided lesions with significant infarction growth by diffusion weighted imaging achieved, after surgical maneuver. No major complications occurred intraoperatively, in contrast to 2 (10.5%) minor manifestation were suffering minor complications probably they included the remote infarction (posterior cerebral artery territory). Pooled analysis with our patients showed a significant neurological improvement and a good outcome in 13 (68.4%) patients without hemorrhage or any other complication, 6 (31.6%) patients with unfavorable outcome (severe disability 2; vegetative state 4, non of them are died 0;). Conclusion STA-MCA bypass may be beneficial to patients with acute stroke or stenosis in progress who are ineligible for medical therapy. Furthermore, it appears safe when the infarction is small. These findings indicate that STA-MCA bypass could be considered as a treatment option in selected patients with ischemic stroke caused by intracranial stenosis or occlusion.

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