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Provisional stenting for symptomatic intracranial stenosis using a multidisciplinary approach: Acute results, unexpected benefit, and one‐year outcome
Author(s) -
Ramee Stephen R.,
Dawson Robert,
McKinley Kevin L.,
Felberg Robert,
Collins Tyrone J.,
Jenkins J. Stephen,
Awaad Mohammed I.,
White Christopher J.
Publication year - 2001
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.1101
Subject(s) - medicine , angioplasty , stenosis , revascularization , stent , percutaneous , stroke (engine) , balloon , multidisciplinary team , surgery , radiology , cardiology , mechanical engineering , nursing , myocardial infarction , engineering
Percutaneous techniques have dramatically changed our approach to coronary and peripheral revascularization. Intracranial atherosclerosis is a highly morbid disease; however, techniques for revascularization are still in evolution. The authors comprise a multidisciplinary team of neurologists, neuroradiologists, and interventional cardiologists who have collaborated in treating fifteen patients with symptomatic intracranial stenosis who have failed medical therapy. The acute success rate (100%) and one‐year freedom from death and stroke (93.4%) using balloon angioplasty and provisional stenting are encouraging. A surprising observation in this patient cohort was that 53% of patients had improvement or resolution of a deficit that was chronic and presumed to be permanent and irreversible. This type of chronic but reversible deficit is termed “brain angina”. The background, rationale for a multidisciplinary team, techniques, and preliminary results of intracranial angioplasty with provisional stenting are presented. Cathet Cardiovasc Intervent 2001;52:457–467. © 2001 Wiley‐Liss, Inc.