Long-term clinical and angiographic outcomes in patients with spontaneous cervico-cranial arterial dissections treated with stent placement

Ameer E. Hassan, Haralabos Zacharatos, Gustavo J. Rodriguez, M. Fareed K Suri, Nauman Tariq, Gabriela Vazquez, Ramachandra P. Tummala, Adnan I. Qureshi

Research output: Contribution to journalArticle

Abstract

Background: Limited data exist regarding the long-term clinical and angiographic outcomes of patients with spontaneous cervico-cranial arterial dissection treated with stent placement. Objective: To report the immediate and long-term clinical and angiographic outcomes of patients who received stent placement for spontaneous cervico-cranial arterial dissection. Methods: We reviewed clinical and angiographic data of consecutive patients with spontaneous, cervico-cranial arterial dissection treated with stent placement. Patients with recurrent ischemic symptoms or severe hemodynamic compromise despite maximal medical therapy, or those with compressive symptoms due to expanding pseudoaneurysms were considered for stent placement. Follow-up angiography and intravascular ultrasound (in select patients) was performed to detect in-stent restenosis, intimal flap, thrombus, or persistent pseudoaneurysm. Results: A total of 14 patients were identified, with complete resolution of stenosis achieved in 10 patients immediately post-procedure. Clinical follow-up ranged from 26-900 days, during which there was 1 (7%) TIA, 1 (7%) minor ischemic stroke, and 1 (7%) in hospital death (unrelated to stent placement). Stroke-free survival was 93% at both 1 month and 6 months after the procedure. Follow-up angiography did not reveal any in-stent restenosis. Conclusions: This study demonstrates the feasibility, safety, and intermediate term effectiveness of endovascular stent reconstruction of spontaneous, cervico-cranial arterial dissection.

Original languageEnglish (US)
Pages (from-to)384-393
Number of pages10
JournalJournal of Neuroimaging
Volume22
Issue number4
DOIs
StatePublished - Oct 1 2012
Externally publishedYes

Fingerprint

Stents
Dissection
False Aneurysm
Angiography
Stroke
Tunica Intima
Feasibility Studies
Pathologic Constriction
Thrombosis
Hemodynamics
Safety
Survival

Keywords

  • Endovascular stent treatment
  • Spontaneous carotid artery dissection
  • Spontaneous cervico-cranial arterial dissection
  • Spontaneous vertebral artery dissection
  • Stent
  • Stent occlusion
  • Stent reconstruction
  • Stroke

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Cite this

Long-term clinical and angiographic outcomes in patients with spontaneous cervico-cranial arterial dissections treated with stent placement. / Hassan, Ameer E.; Zacharatos, Haralabos; Rodriguez, Gustavo J.; Suri, M. Fareed K; Tariq, Nauman; Vazquez, Gabriela; Tummala, Ramachandra P.; Qureshi, Adnan I.

In: Journal of Neuroimaging, Vol. 22, No. 4, 01.10.2012, p. 384-393.

Research output: Contribution to journalArticle

Hassan, Ameer E. ; Zacharatos, Haralabos ; Rodriguez, Gustavo J. ; Suri, M. Fareed K ; Tariq, Nauman ; Vazquez, Gabriela ; Tummala, Ramachandra P. ; Qureshi, Adnan I. / Long-term clinical and angiographic outcomes in patients with spontaneous cervico-cranial arterial dissections treated with stent placement. In: Journal of Neuroimaging. 2012 ; Vol. 22, No. 4. pp. 384-393.
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AU - Tariq, Nauman

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