Treatment of Symptomatic Intracranial Atherosclerotic Stenosis with a Normal-sized Gateway™ Balloon and Wingspan™ Stent

被引:10
作者
Yu, J.
Wang, L.
Deng, J. P.
Li, J.
Gao, L.
Zhang, T.
Zhao, Z. W.
Gao, G. D.
机构
[1] Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an
关键词
GATEWAY (TM) BALLOON CATHETER; WINGSPAN (TM) STENT; ANGIOPLASTY; INTRACRANIAL ATHEROSCLEROTIC STENOSIS; STROKE; SAFETY; PERFORMANCE; EXPERIENCE; WARFARIN; ASPIRIN; STROKE;
D O I
10.1177/147323001003800610
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
The safety and performance of angioplasty using a normal-sized Gateway (TM) balloon and Wingspan (TM) stent for intracranial atherosclerotic stenosis were assessed. Seventy-two patients with intracranial stenosis (>= 50%) were treated using an undersized (group U) or normal-sized (group N) Gateway (TM) balloon and a Wingspan (TM) stent. All patients were successfully stented. Stenosis improved from 74.2% before treatment to 23.8% immediately after treatment in group U and from 70.9% to 20.1% in group N. The two groups had similar rates of major periprocedural neurological complications (9.0% overall), none of which led to death. Residual stenosis at follow-up was 40.8% and 32.5% in groups U and N, respectively. In-stent re-stenosis (ISR) was significantly less frequent in group N (22.0%) than in group U (33.3%). It is concluded that use of a normal-sized Gateway (TM) balloon and Wingspan (TM) stent appears to be safe, to have a high rate of technical success, good immediate post-operative results and a low ISR rate.
引用
收藏
页码:1968 / 1974
页数:7
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