title: Endovascular Treatment of Vertebral Artery Stenosis.
abstract: Endovascular treatment of vertebral artery stenosis (VAS) is a safe and effective technique for treating symptoms caused by posterior circulation ischemia with high technical and clinical success rates, low complication rates and durable long-term results. Variable restenosis rates have been reported in the literature with small improvements demonstrated using drug eluting stents. Although there is insufficient evidence from randomized trials to demonstrate superiority of endovascular compared to optimal medical therapy for the treatment of this disease, patients who fail medical therapy should be considered for endovascular stenting for symptomatic VAS. This manuscript will examine and review the endovascular treatment options for extracranial VAS.
authors.affiliation: Interventional Cardiology, John Ochsner Heart and Vascular Institute, Ochsner Medical Center, New Orleans, LA, United States. Electronic address: sjenkins@ochsner.org.
authors.forename: J Stephen
authors.initials: JS
authors.lastname: Jenkins
authors.affiliation: Interventional Cardiology, John Ochsner Heart and Vascular Institute, Ochsner Medical Center, New Orleans, LA, United States.
authors.forename: Merrill
authors.initials: M
authors.lastname: Stewart
mesh_terms: D017130:Angioplasty / Q000009:adverse effects / Q000295:instrumentation*; D002560:Cerebrovascular Circulation; D006801:Humans; D018579:Patient Selection; D012008:Recurrence; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome; D014715:Vertebrobasilar Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*
keywords: Endovascular intervention; Peripheral arterial disease; Vertebral artery angioplasty; Vertebral artery stenosis; Vertebral artery stent; Vertebrobasilar insufficiency