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Endovascular Treatment for Intracranial Vertebrobasilar Artery Stenosis

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Book cover Trends in Neurovascular Interventions

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 119))

Abstract

Purpose: We describe our experience with endovascular treatment for symptomatic intracranial vertebrobasilar artery stenosis.

Materials and Methods: Forty-four patients with intracranial vertebrobasilar artery stenosis (37 vertebral arteries, 7 basilar arteries) were treated with endovascular surgery. Indication criteria for the treatment were (1) medically refractory symptomatic patients; (2) angiographic stenosis of more than 60 %; and (3) short lesion (<15 mm). Under local anesthesia, balloon angioplasty was first performed in all patients. Stenting was performed only in cases with insufficient dilatation, dissection, or restenosis after balloon angioplasty. The degree of stenosis, which was 83 % before treatment, was reduced to 23 % after treatment. The rate of stroke and death within 30 days was 2.3 %. Nine patients (20.5 %) developed restenosis within 6 months. Of these, four patients were symptomatic. All symptomatic patients with restenosis were successfully treated with balloon angioplasty or stenting.

Conclusion: Endovascular treatment for vertebrobasilar artery stenoses is feasible and safe in selected patients. Restenosis may be an important cause of recurrent stroke. Therefore, close clinical and neuroradiological follow-ups are essential for patients treated with endovascular surgery to improve long-term results.

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Conflict of Interest

We declare that we have no conflict of interest.

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Authors and Affiliations

  1. Department of Neurosurgery, Fukui Red Cross Hospital, 4-1, 2 Tsukimi, Fukui-shi, Fukui, 918-8501, Japan

    Taketo Hatano MD

  2. Department of Neurosurgery, National Hospital Organization, Kyoto Medical Center, 1-1 Mukaihata-cho, Fukakusa, Fushimi-ku, Kyoto-shi, Kyoto, 612-8555, Japan

    Tetsuya Tsukahara MD

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  1. Taketo Hatano MD
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  2. Tetsuya Tsukahara MD
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Correspondence to Taketo Hatano MD .

Editor information

Editors and Affiliations

  1. Dept. of Neurosurgery, Kyoto Medical Center, Kyoto, Japan

    Tetsuya Tsukahara

  2. Klinik für Neurochirurgie UniversitätsSpital Zürich, Zürich, Switzerland

    Giuseppe Esposito

  3. Neurochirurgische Klinik, Universitätsklinikum Düsseldorf, Düsseldorf, Germany

    Hans-Jakob Steiger

  4. Department of Neurology, University Medical Centre Utrecht, Utrecht, The Netherlands

    Gabriel J.E. Rinkel

  5. Klinik für Neurochirurgie UniversitätsSpital Zürich, Zürich, Switzerland

    Luca Regli

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Hatano, T., Tsukahara, T. (2014). Endovascular Treatment for Intracranial Vertebrobasilar Artery Stenosis. In: Tsukahara, T., Esposito, G., Steiger, HJ., Rinkel, G., Regli, L. (eds) Trends in Neurovascular Interventions. Acta Neurochirurgica Supplement, vol 119. Springer, Cham. https://doi.org/10.1007/978-3-319-02411-0_15

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  • DOI: https://doi.org/10.1007/978-3-319-02411-0_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-02410-3

  • Online ISBN: 978-3-319-02411-0

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