[Endovascular stent-assisted angioplasty for atherosclerotic intracranial stenosis, a clinical analysis of 39 cases].
OBJECTIVE
To assess the preliminary outcome of endovascular stent-assisted angioplasty for intracranial stenosis.


METHODS
Thirty-nine patients with atherosclerotic intracranial stenosis (19 cases in posterior circulation and 20 in anterior circulation) were treated with endovascular angioplasty using balloon-expandable coronary stents. Follow-up was made for 4 - 24 months. The clinical manifestations were observed and CT, MR, or DSA were conducted before and after the operation.


RESULTS
All of the stents were successfully implanted on the first procedure without procedural and periprocedural complications. The mean carotid artery stenosis rate was 73.5 +/- 6.7% before the procedure and 11.2 +/- 4.3% after the procedure. The patients were clinical asymptomatic and neurologically intact. Follow-up angiographies made in 29 patients revealed no restenosis.


CONCLUSIONS
With effective short-term results and helpful in decreasing incidence of stroke, endovascular stenting is safe and feasible for treatment of intracranial stenosis.
Huang
Qing-hai
QH
Department of Neurosurgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.
Liu
Jian-min
JM
Hong
Bo
B
Xu
Yi
Y
Zhang
Long
L
Zhang
Xin
X
Ding
Su-ju
SJ
Deng
Ben-qiang
BQ
Zhang
Yong-wei
YW
D000328:Adult; D000368:Aged; D017130:Angioplasty; D002545:Brain Ischemia / Q000628:therapy*; D016893:Carotid Stenosis / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents