Experience with transluminal stent-assisted angioplasty for intracranial vascular diseases / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To assess the value of stent-assistant angioplasty for intracranial vascular diseases.</p><p><b>METHODS</b>Thirteen patients with intracranial vascular diseases were treated consecutively by stent-assistant angioplasty for different purposes. Of these patients 7 had symptomatic intracranial artery stenosis, 3 intracranial wide-neck aneurysms, 2 intracranial pseudoaneurysms, and 1 bilateral transverse sinus stenosis. Clinical procedures and technical data of the patients were retrospectively analyzed.</p><p><b>RESULTS</b>In the 7 patients, the degree of intracranial artery stenosis reduced from 83% to 5%. Three months after the operation they exhibited good patency of stented lesions. Intracranial wide neck aneurysms (with 2 pseudoaneurysms) were successfully embolized with GDC in 5 patients. The patients with bilateral transverse sinus stenosis were implanted a self-expanded stent in the right transverse sinus. One patient failed because of the tortuous configuration of the left jugular bulb, but the patient's symptoms were improved quickly after the procedure.</p><p><b>CONCLUSION</b>Stent-assistant angioplasty is a useful technique for selected intracranial vascular diseases, and it needs further investigation.</p>