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Treatment of symptomatic complex posterior circulation cerebral artery stenosis with balloon-mounted stents: technique feasibility and outcome

  • Interventional Neuroradiology
  • Published:
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Abstract

Purpose

This study aimed to retrospectively analyze a series of patients with complex posterior circulation stenosis who underwent stent-assisted angioplasty to evaluate the feasibility of the procedure and summarize the experience with regard to complications.

Methods

A total of 16 consecutive patients with 27 complex posterior circulation artery stenoses refractory to medical therapy were enrolled. Technical success rate, periprocedural complication, and long-term follow-up result were evaluated.

Results

The study population included 16 patients with 27 lesions. A total of 36 stents were successfully implanted. The technical success rate was 100%, and the overall periprocedural complication rate was 12.5% (2/16). During a median of 25.5 months of follow-up, three patients presented recurrent transient ischemic attacks, which were confirmed had restenosis more than 50% by control angiography or transcranial Doppler.

Conclusions

Stent-assisted angioplasty is a feasible treatment method for complex posterior circulation artery stenosis. However, it appears to be associated with a relatively high periprocedural complication rate. Therefore, strict periprocedural management to reduce mortality and morbidity is needed.

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Acknowledgement

This study was sponsored by the Beijing Medical Development and Research Fund.

Conflict of interest statement

We declare that we have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China

    Bin Wang, Gui-lin Li & Ren-zhi Wang

  2. Department of Neurosurgery, XuanWu Hospital, Capital University of Medical Science, Beijing, 100053, China

    Zhong-rong Miao, Xun-min Ji, Li-qun Jiao & Feng Ling

  3. Department of Vascular Ultrasonography, XuanWu Hospital, Capital University of Medical Science, Beijing, 100053, China

    Yang Hua

Authors
  1. Bin Wang
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  2. Zhong-rong Miao
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  3. Gui-lin Li
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  4. Yang Hua
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  5. Xun-min Ji
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  6. Li-qun Jiao
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  7. Ren-zhi Wang
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  8. Feng Ling
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Corresponding author

Correspondence to Feng Ling.

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Wang, B., Miao, Zr., Li, Gl. et al. Treatment of symptomatic complex posterior circulation cerebral artery stenosis with balloon-mounted stents: technique feasibility and outcome. Neuroradiology 51, 319–326 (2009). https://doi.org/10.1007/s00234-009-0503-1

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  • DOI: https://doi.org/10.1007/s00234-009-0503-1

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