Article Sidebar

PDF
Date Published: 15/06/2022
Online Published: 26/02/2020
Abstract Views: 212
Views PDF: 331
DOI: https://doi.org/10.55046/vjrnm.41.174.2020
Issue
No. 41 (2020)
Section
Scientific research
How to Cite
Le, H. K., Vu, D. L., Pham, M. T., & Nguyen, Q. A. (2020). Evaluation the results of the stenting on treatment of intracranial atherosclerosis at Bach Mai Hospital. Vietnamese Journal of Radiology and Nuclear Medicine, 41, 31-44. https://doi.org/10.55046/vjrnm.41.174.2020

Evaluation the results of the stenting on treatment of intracranial atherosclerosis at Bach Mai Hospital

Dr Le Hoang Khoe1, Dr Vu Dang Luu2, Professor Pham Minh Thong1, Dr Nguyen Quang Anh2
1 Hanoi Medical University
2 Radiology Center - Bach Mai Hospital

Main Article Content

Abstract

Background & Aims: Evaluation the results of the stenting on treatment of Intracranial Atherosclerosis. 
Methods: A prospective, non-controlled intervention study in intracranial artery stenosis patients with or without symptoms. The patients were indicated for treatment with stent placement from June 2017 to June 2020 at Radiology Center of Bach Mai Hospital.
Results: The study was performed on 18 patients, including 14 patients have acute celebral ischemic stroke with intracranial stenosis and 4 patients have simple intracranial stenosis. : The study was performed including 10 men (55.6%) and 8 women (44.4%). The mean age of patients was 66.28 ± 10.87 years. The rate of successful interventions for intracranial artery stenosis was 94.4%. There are 2 patients (11.11%) had acute or immediately post intervention. Symptoms and complications,
especially related to intracranial artery stenosis, were observed in 4 patients (22.22%). After an average of 3 months of follow-up, 1 patient died from perforation causing cerebral hemorrhage (5.56%) and 03 patients from stent-obstructive cerebral infarction after intervention (16.67%). Results of clinical recovery after stenting based on mRs scores with mortality, good recovery and slow recovery were 22.22%, 44.45% and 33.33%, respectively.
Conclusion: The results of stent treatment for intracranial artery stenosis in our research have a high success rate. The safety of the intervention and post treatment clinical recovery rate are high.

Article Details

Keywords

ICAD, PTAS

References

1. Tan KS, Wong KS, Venketasubramanian N, (2006),. Setting priorities in Asian stroke research. Neurology Asia. 11: p. 5-11.
2. Lê Đức Hinh, (2010),. Chẩn đoán sớm cơn đột quỵ não. Nội san Hội thần kinh Việt Nam. 6(1): p. 3-7.
3. Bodmer N. Hemorrhagic and Ischemic Stroke: Medical, Imaging, Surgical, and Interventional Approaches, 1st Edition. Acad Radiol. 2013;20(6):792.
4. Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA. Image-Guided Interventions E-Book: Expert Radiology Series.; 2013.
5. Broderick JP. William M. Feinberg Lecture: Stroke Therapy in the Year 2025: Burden, Breakthroughs, and
Barriers to Progress. Stroke. 2004;35(1):205-211.
6. Holmstedt CA, Turan TN, Chimowitz MI. Atherosclerotic intracranial arterial stenosis: risk factors, diagnosis, and treatment. Lancet Neurol. 2013;12(11):1106-1114.
7. Rodgers A, MacMahon S, Gamble G, Slattery J, Sandercock P, Warlow C. Blood pressure and risk of stroke in patients with cerebrovascular disease. The United Kingdom Transient Ischaemic Attack Collaborative Group. BMJ. 1996;313(7050):147.
8. Derdeyn CP, Fiorella D, Lynn MJ, et al. Intracranial Stenting: SAMMPRIS. Stroke. 2013;44(6, Supplement 1):S41-S44.
9. Zaidat OO, Fitzsimmons B-F, Woodward BK, et al. Effect of a Balloon-Expandable Intracranial Stent vs Medical
Therapy on Risk of Stroke in Patients With Symptomatic Intracranial Stenosis: The VISSIT Randomized Clinical Trial. JAMA. 2015;313(12):1240.
10. Alexander MJ, Zauner A, Chaloupka JC, et al. WEAVE Trial: Final Results in 152 On-Label Patients. Stroke. 2019;50(4):889-894.
11. Nguyen TN, Zaidat OO, Gupta R, et al. Balloon Angioplasty for Intracranial Atherosclerotic Disease: Periprocedural Risks and Short-Term Outcomes in a Multicenter Study. Stroke. 2011;42(1):107-111.
12. Karanam LSP, Sharma M, Alurkar A, Baddam SR, Pamidimukkala V, Polavarapu R. Balloon Angioplasty for Intracranial Atherosclerotic Disease: A Multicenter Study. J Vasc Interv Neurol. 2017;9(4):29-34.
13. Zhang X, Luo G, Jia B, et al. Differences in characteristics and outcomes after endovascular therapy: A singlecenter analysis of patients with vertebrobasilar occlusion due to underlying intracranial atherosclerosis disease and embolism. Interv Neuroradiol. 2019;25(3):254-260.
14. Baek J-H, Kim BM, Heo JH, Kim DJ, Nam HS, Kim YD. Outcomes of Endovascular Treatment for Acute Intracranial Atherosclerosis–Related Large Vessel Occlusion. Stroke. 2018;49(11):2699-2705.
15. Fan Y, Li Y, Zhang T, et al. Endovascular therapy for acute vertebrobasilar occlusion underlying atherosclerosis: A single institution experience. Clin Neurol Neurosurg. 2019;176:78-82.
16. Al Kasab S, Almadidy Z, Spiotta AM, et al. Endovascular treatment for AIS with underlying ICAD. J NeuroInterventional Surg. 2017;9(10):948-951.
17. Gross BA, Desai SM, Walker G, Jankowitz BT, Jadhav A, Jovin TG. Balloon-mounted stents for acute intracranial large vessel occlusion secondary to presumed atherosclerotic disease: evolution in an era of supple intermediate catheters. J NeuroInterventional Surg. 2019;11(10):975-978.
18. Kass-Hout T, Winningham M, Kass-Hout O, et al. Clopidogrel plus Aspirin for Symptomatic Intracranial Atherosclerotic Stenosis: A Pilot Study. Interv Neurol. 2016;5(3-4):157-164.