Selective stent implantation for treatment of severe residual stenosis of intracranial target artery after successful mechanical thrombectomy / 中国介入影像与治疗学
Chinese Journal of Interventional Imaging and Therapy
;
(12): 338-342, 2020.
Article
in Chinese
| WPRIM
| ID: wpr-861962
ABSTRACT
Objective:
To investigate the feasibility of selective stent implantation for treatment of severe residual stenosis of intracranial target artery after successful mechanical thrombectomy (MT).Methods:
Selective stent implantation was successfully performed for treatment of severe residual stenosis of the intracranial target artery after MT in 4 patients, and the data of patients were analyzed retrospectively.Results:
The occluded arteries of 4 patients were all successfully recanalized after MT, and all the target arteries remained severe stenosis (≥70%) with antegrade blood flow stable. Two patients with major acute infraction on MRI within 72 h underwent stent implantation 48 days and 27 days after thrombectomy, while the other two with minor infraction and little neural deficits underwent stent implantation 4 days and 12 days after thrombectomy, respectively. The blood flows were all satisfying after stenting, no complication occurred, and modified Rankin scale (mRS) of all patients were ≤2 after 90 days. No stent migration was observed at the end of follow-up, and all target arteries remained patent.Conclusion:
Selective stent implantation is an alternative, relatively safe and effective treatment method for residual severe intracranial stenosis after the reexamination of cerebral infarction and the neurological function.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
Chinese
Journal:
Chinese Journal of Interventional Imaging and Therapy
Year:
2020
Type:
Article
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