title: [Clinical observation of middle cerebral artery angioplasty in treatment of subcortex cerebral watershed infarction with moderate or severe disabilities].
abstract: OBJECTIVE
  To assess the safety and effectiveness of middle cerebral artery angioplasty in treatment of subcortical watershed infarcts (S-CWI) with moderate or severe disabilities.
  
  
  METHODS
  From June 2011 to May 2012, 5 S-CWI patients (six lesions) with moderate or severe disabilities combining severe stenosis in Ipsilateral middle cerebral artery received middle cerebral artery angioplasty in Interventional Radiology and Vascular Surgery Department, Peking University Third Hospital. We observed the neurological score before and after angioplasty and assessed the improvement of neurological functions.
  
  
  RESULTS
  The National Institute of Health stroke scale(NIHSS) scores were decreased by 4-6 points and modified Rankin scale(mRs) scores were decreased 1 point in 7 days. In the 3 months' follow-up, 4 patients' mRs scores were 1 point, and 1 patient's was 2 points. In the 1-year follow-up, there were no new strokes and instent restenosis events.
  
  
  CONCLUSIONS
  Middle cerebral artery angioplasty in treatment of S-CWI with moderate or severe disabilities is beneficial.
authors.affiliation: Interventional Radiology and Vascular Surgery Department, Peking University Third Hospital, Beijing 100191,China.
authors.forename: Jin-tao
authors.initials: JT
authors.lastname: Han
authors.affiliation: Interventional Radiology and Vascular Surgery Department, Peking University Third Hospital, Beijing 100191,China.
authors.forename: Xuan
authors.initials: X
authors.lastname: Li
authors.affiliation: Department of Neurology, Peking University Third Hospital, Beijing 100191,China.
authors.forename: Mun
authors.initials: M
authors.lastname: Zheng
authors.affiliation: Interventional Radiology and Vascular Surgery Department, Peking University Third Hospital, Beijing 100191,China.
authors.forename: Jun
authors.initials: J
authors.lastname: Fu
authors.affiliation: Interventional Radiology and Vascular Surgery Department, Peking University Third Hospital, Beijing 100191,China.
authors.forename: Chang-ming
authors.initials: CM
authors.lastname: Wang
authors.affiliation: Interventional Radiology and Vascular Surgery Department, Peking University Third Hospital, Beijing 100191,China.
authors.forename: Guo-xiang
authors.initials: GX
authors.lastname: Dong
authors.affiliation: Department of Radiology,Peking University Third Hospital,Beijing 100191,China.
authors.forename: Qing-yuan
authors.initials: QY
authors.lastname: He
mesh_terms: D017130:Angioplasty; D001921:Brain / Q000473:pathology; D002544:Cerebral Infarction / Q000601:surgery*; D003251:Constriction, Pathologic; D006801:Humans; D020768:Middle Cerebral Artery / Q000601:surgery*; D020521:Stroke; D016896:Treatment Outcome