title: Outcome of intracranial arterial stenting of symptomatic atherosclerotic disease: A single center experience from Saudi Arabia.
abstract: OBJECTIVE
  To present our local experience with intracranial angioplasty and stenting used for the treatment of symptomatic intracranial stenosis to assess its safety, efficacy, and outcome.
  
  
  METHODS
  This is a retrospective review of all the patients with symptomatic intracranial atherosclerotic disease who underwent endovascular treatment in King Faisal Specialist Hospital and research center, Jeddah, Kingdom of Saudi Arabia from January 2003 to December 2014. Clinical, procedural, and outcome variables were gathered.
  
  
  RESULTS
  We identified 22 patients who were referred for stenting of symptomatic intracranial atherosclerotic stenosis. In all but 3, the stents were deployed successfully (86% procedural success rate). The procedure was carried out under conscious sedation in 32%. Excellent flow was restored immediately in all successfully-stented cases. Post procedural strokes occurred in 4 patients (17.4%). One non-neurological death was identified in a patient who suffered a major post procedural stroke (4.3%).
  
  
  CONCLUSIONS
  Intracranial atherosclerotic disease is not uncommon in our population. Angioplasty and stenting might be a valid option for the treatment of patients with recurrent symptoms despite optimal medical treatment.
authors.affiliation: Department of Neurosciences, King Faisal Specialist Hospital and Research Center, Jeddah, Kingdom of Saudi Arabia.
authors.forename: Youssef
authors.initials: Y
authors.lastname: Al Said
authors.forename: Khalil
authors.initials: K
authors.lastname: Kurdi
authors.forename: Saleh S
authors.initials: SS
authors.lastname: Baeesa
authors.forename: Ahmed
authors.initials: A
authors.lastname: Najjar
authors.forename: Mohammed
authors.initials: M
authors.lastname: Almekhlafi
authors.forename: Ahmed
authors.initials: A
authors.lastname: Hassan
mesh_terms: D000328:Adult; D000368:Aged; D015901:Angiography, Digital Subtraction; D017130:Angioplasty / Q000379:methods*; D002533:Cerebral Angiography; D015331:Cohort Studies; D000072226:Computed Tomography Angiography; D003251:Constriction, Pathologic; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D002537:Intracranial Arteriosclerosis / Q000000981:diagnostic imaging / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012189:Retrospective Studies; D012529:Saudi Arabia; D015607:Stents
chemical_list: D010975:Platelet Aggregation Inhibitors