title: Endovascular recanalization for chronic symptomatic middle cerebral artery total occlusion.
abstract: The optimal treatment of chronic middle cerebral artery (MCA) occlusion is unclear. Angioplasty and stenting may be an alternative treatment for patients with recurrent ischemic symptoms despite medical therapy. Two patients with chronic right MCA occlusion successfully treated with stenting are reported, together with their long term follow-up to illustrate the feasibility of endovascular recanalization. One patient remained asymptomatic at the 29-month follow-up. Another patient developed symptomatic in-stent restenosis at 12 months which resolved after repeat angioplasty. Further larger scale pilot studies are needed to determine the efficacy and long term outcome of this treatment.
authors.affiliation: Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
authors.forename: Ning
authors.initials: N
authors.lastname: Ma
authors.forename: Da-Peng
authors.initials: DP
authors.lastname: Mo
authors.forename: Feng
authors.initials: F
authors.lastname: Gao
authors.forename: Zhong-Rong
authors.initials: ZR
authors.lastname: Miao
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D011859:Radiography