TY - JOUR
T1 - Long-term clinical and angiographic outcomes in patients with spontaneous cervico-cranial arterial dissections treated with stent placement
AU - Hassan, Ameer E.
AU - Zacharatos, Haralabos
AU - Rodriguez, Gustavo J.
AU - Suri, M. Fareed K.
AU - Tariq, Nauman
AU - Vazquez, Gabriela
AU - Tummala, Ramachandra P.
AU - Qureshi, Adnan I.
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2012/10
Y1 - 2012/10
N2 - 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.
AB - 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.
KW - Endovascular stent treatment
KW - Spontaneous carotid artery dissection
KW - Spontaneous cervico-cranial arterial dissection
KW - Spontaneous vertebral artery dissection
KW - Stent
KW - Stent occlusion
KW - Stent reconstruction
KW - Stroke
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U2 - 10.1111/j.1552-6569.2012.00724.x
DO - 10.1111/j.1552-6569.2012.00724.x
M3 - Article
C2 - 22612242
AN - SCOPUS:84868196778
SN - 1051-2284
VL - 22
SP - 384
EP - 393
JO - Journal of Neuroimaging
JF - Journal of Neuroimaging
IS - 4
ER -