Browse > Article

Intracranial Stent Implantation for Drug Resistant Atherosclerotic Stenosis: Results of 52 Cases  

Kim, Kuk-Seon (Department of Radiology, Hallym University Hangang Sacred Heart Hospital)
Hwang, Dae-Hyun (Department of Radiology, Hallym University Hangang Sacred Heart Hospital)
Ko, Young-Hwan (Department of Radiology, Hallym University Hangang Sacred Heart Hospital)
Kang, Ik-Won (Department of Radiology, Hallym University Hangang Sacred Heart Hospital)
Lee, Eil-Seong (Department of Radiology, Hallym University Hangang Sacred Heart Hospital)
Han, You-Mie (Department of Radiology, Hallym University Hangang Sacred Heart Hospital)
Kim, In-Soo (Department of Neurosurgery, Myungji St. Mari's Hospital)
Hur, Choon-Woong (Department of Neurosurgery, Myungji St. Mari's Hospital)
Min, Sun-Jung (Department of Radiology, Hallym University Hangang Sacred Heart Hospital)
Publication Information
Journal of the Korean Society of Radiology / v.65, no.1, 2011 , pp. 53-59 More about this Journal
Abstract
Purpose: We evaluated the usefulness of intracranial stent implantation for treatment of drug resistant atherosclerotic stenoses. Materials and Methods: Between March 2004 and July 2007, we tried intracranial stent implantation in 49 patients with 52 lesions (anterior circulation 48 cases, posterior circulation 4 cases) who had an ischemic stroke with more than 50% of major cerebral artery stenosis. We classified the lesions by their location and morphology, analyzed the results in terms of the success rate, complication rate, and restenosis rate during the follow-up period. Results: Intracranial stent implantation was performed successfully in 43 cases (82.7%). In eight of the nine cases, the stent implantation failure was due to the tortuosity of the target vessel. There was no major periprocedural complication. One patient showed cerebellar infarction after the procedure. Mean residual stenoses decreased from 70.2% to 13.0%. Four cases (9.3%) demonstrated in-stent restenoses and more than 50% during the mean and 25.3/month after the follow-up period. Conclusion: Success rate of intracranial stent implantation may improve on developing technique and more experience. Low rate of complication and restenosis suggest that we can consider intracranial stent implantation for treatment of drug resistant atherosclerotic stenoses.
Keywords
Stroke, Cerebral Arterial Diseases; Cerebral Stenosis, Stents; Intracranial Arteriosclerosis;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Kim JS. Stroke in Korea. International Congress Series 2004;1262:348-351   DOI
2 Suh DC, Lee SH, Kim KR, Park ST, Lim SM, Kim SJ, et al. Pattern of atherosclerotic carotid stenosis in Korean patients with stroke: different involvement of intracranial versus extracranial vessels. AJNR Am J Neuroradiol 2003;24:239-244
3 Lylyk P, Cohen JE, Ceratto R, Ferrario A, Miranda C. Angioplasty and stent placement in intracranial atherosclerotic stenoses and dissections. AJNR Am J Neuroradiol 2002; 23:430-436
4 Groschel K, Schnaudigel S, Pilgram SM, Wasser K, Kastrup A. A systematic review on outcome after stenting for intracranial atherosclerosis. Stroke 2009;40:e340-e347   DOI
5 Choi HW, Koo YB, Lee TH, Kim HJ, Lee JW, Kim CW, et al. New Techniques for Intracranial Stent Navigation in Patients with Tortuous Arteries. J Korean Soc Radiol 2005;52:101-106   DOI
6 Suh DC, Kim JK, Choi JW, Choi BS, Pyun HW, Choi YJ, et al. Intracranial stenting of severe symptomatic intracranial stenosis: results of 100 consecutive patients. AJNR Am J Neuroradiol 2008;29:781-785   DOI   ScienceOn
7 Bogousslavsky J, Barnett HJ, Fox AJ, Hachinski VC, Taylor W. et al. Atherosclerotic disease of the middle cerebral artery. Stroke 1986;17:1112-1120   DOI   ScienceOn
8 Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke. Results of an international randomized trial. The EC/IC Bypass Study Group. N Engl J Med 1985;313:1191-1200   DOI   ScienceOn
9 Chimowitz MI, Kokkinos J, Strong J, Brown MB, Levine SR, Silliman S, et al. The Warfarin-Aspirin Symptomatic Intracranial Disease Study. Neurology 1995;45:1488-1493   DOI   ScienceOn
10 Thijs VN, Albers GW. Symptomatic intracranial atherosclerosis: outcome of patients who fail antithrombotic therapy. Neurology 2000;55:490-497   DOI   ScienceOn
11 Mazighi M, Tanasescu R, Ducrocq X, Vicaut E, Bracard S, Houdart E, et al. Prospective study of symptomatic atherothrombotic intracranial stenoses: the GESICA study. Neurology 2006;66:1187-1191   DOI   ScienceOn
12 Siddiq F, Vazquez G, Memon MZ, Suri MF, Taylor RA, Wojak JC, et al. Comparison of primary angioplasty with stent placement for treating symptomatic intracranial atherosclerotic diseases: a multicenter study. Stroke 2008;39: 2505-2510   DOI   ScienceOn
13 Marks MP, Marcellus ML, Do HM, Schraedley-Desmond PK, Steinberg GK, Tong DC, et al. Intracranial angioplasty without stenting for symptomatic atherosclerotic stenosis: long-term follow-up. AJNR Am J Neuroradiol 2005;26: 525-530
14 Lylyk P, Ferrario A, Pasbon B, Miranda C, Doroszuk G. Buenos Aires experience with the Neuroform self-expanding stent for the treatment of intracranial aneurysms. J Neurosurg 2005;102:235-241   DOI   ScienceOn
15 Marks MP, Marcellus M, Norbash AM, Steinberg GK, Tong D, Albers GW. Outcome of angioplasty for atherosclerotic intracranial stenosis. Stroke 1999;30:1065-1069   DOI   ScienceOn