Abstract
With improved technology and interventional skills, endovascular treatment has become a standard of care in a majority of patients with vertebral artery disease. Important exceptions include patients with hostile neck, extreme tortuosity, and external osseous stenoses. Obvious limitations of the endovascular approach include recurrent stenoses. In this chapter, the state of the art of endovascular treatments of vertebral artery disease has been reviewed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abruzzo TA, Tong FC, Waldrop AS, Workman MJ, Cloft HJ, Dion JE (2007) Basilar artery stent angioplasty for symptomatic intracranial athero-occlusive disease: complications and late midterm clinical outcomes. Am J Neuroradiol 28:808–815
Akins PT, Kerber CW, Pakbaz RS (2008) Stenting of vertebral artery origin atherosclerosis in high-risk patients: bare or coated? A single-center consecutive case series. J Invasive Cardiol 20:14–20
Albuquerque FC, Fiorella D, Han P, Spetzler RF, McDougall CG (2003) A reappraisal of angioplasty and stenting for the treatment of vertebral origin stenosis. Neurosurgery 53:607–614
Blacker DJ, Flemming KD, Wijdicks EF (2003) Risk of ischemic stroke in patients with symptomatic vertebrobasilar stenosis undergoing surgical procedures. Stroke 34:2659–2663
Canyigit M, Arat A, Cil BE, Turkbey B, Saatci I, Cekirge S, Balkanci F (2007) Distal embolization after stenting of the vertebral artery: diffusion-weighted magnetic resonance findings. Cardvasc Intervent Radiol 30:189–195
Chastain HD II, Campbell MS, Iyer S, Roubin GS, Vitek J, Mathur A (1999) Extracranial vertebral artery stent placement: in-hospital and follow-up results. J Neurosurg 91:547–552
Chow MM, Masaryk TJ, Woo HH, Mayberg MR, Rasmussen PA (2005) Stent-assisted angioplasty of intracranial vertebrobasilar atherosclerosis: midterm analysis of clinical and radiologic predictors of neurological morbidity and mortality. AJNR Am J Neuroradiol 26:869–874
Cloud GC, Crawley F, Clifton A, McCabe DJ, Brown MM, Markus HS (2003) Vertebral artery origin angioplasty and primary stenting: safety and restenosis rates in a prospective series. J Neurol Neurosurg Psychiatry 74:586–590
Dabus G, Gerstle RJ, Derdeyn CP, Cross DT, Moran CJ (2006) Endovascular treatment of the vertebral artery origin in patients with symptoms of vertebrobasilar ischemia. Neuroradiology 48:917–923
Dabus G, Moran CJ, Derdeyn CP, Cross DT (2007) Endovascular treatment of vertebral artery-origin and innominate/subclavian disease: indications and technique. Neuroimaging Clin N Am 17:381–392
Divani AA, Berezina TL, Zhoun J, Pakdaman R, Suri MF, Quereshi AI (2008) Microscopic and macroscopic evaluation of emboli captured during angioplasty and stent procedures in extracranial vertebral and internal carotid arteries. J Endovasc Ther 15:263–269
Edgell RC, Yovagal DR, Drazin D, Olivera R, Boulos AS (2010) Treatment of vertebral artery origin stenosis with anti-proliferative drug-eluting stents. J Neuroimaging 20:175–179
Gupta R, Al-Ali F, Thomas AJ, Horowitz MB, Barrow T, Vora NA et al (2006) Safety, feasibility, and short-term follow-up of drug-eluting stent placement in the intracranial and extracranial circulation. Stroke 37:2562–2566
Hartmann M, Jansen O (2005) Angioplasty and stenting of intracranial stenosis. Curr Opin Neurol 18:39–45
Hatano T, Tsukahara T, Ogino E, Aoyama T, Nakakuki T, Murakami M (2005) Stenting for vertebrobasilar artery stenosis. Acta Neurochir Suppl 94:137–141
Hauth EA, Gissler HM, Drescher R, Jansen C, Jaeger HJ, Mathias KD (2004) Angioplasty or stenting of extra- and intracranial vertebral artery stenoses. Cardiovasc Intervent Radiol 27:51–57
Imai K, Mori T, Izumoto H, Kunieda T, Takabatake N, Yamamoto S, Watanabe M (2008) Transluminal angioplasty and stenting for intracranial vertebrobasilar occlusive lesions in acute stroke patients. AJNR Am J Neuroradiol 29:773–780
Janssens E, Leclerc X, Gautier C, Godefroy O, Koussa M, Henon H, Lucas C, Leys D, Pruvo JP (2004) Percutaneous transluminal angioplasty of proximal vertebral artery stenosis: long-term clinical follow-up of 16 consecutive patients. Neuroradiology 46:81–84
Jenkins JS, Patel SN, White CJ, Collins TJ, Reilly JP, McMullan PW et al (2010) Endovascular stenting for vertebral artery stenosis. J Am Coll Cardiol 55:538–542
Jiang WJ, Xu XT, Du B, Dong KH, Jin M, Wang QH, Ma N (2007) Long-term outcome of elective stenting for symptomatic intracranial vertebrobasilar stenosis. Neurology 68:856–858
Kantarci F, Mihmanli I, Albayram MS, Barutca H, Gulsen F, Kocer N, Islak C (2006) Follow-up of extracranial vertebral artery stents with Doppler sonography. Am J Roentgenol 187:779–787
Kim DJ, Lee BH, Kim DI, Shim WH, Jeon P, Lee TH (2005) Stent-assisted angioplasty of symptomatic intracranial vertebrobasilar artery stenosis: feasibility and follow-up results. AJNR Am J Neuroradiol 26:1381–1388
Kim SR, Baik MW, Yoo SH, Park IS, Kim SD, Kim MC (2007) Stent fracture and restenosis after placement of a drug-eluting device in the vertebral artery origin and treatment with the stent-in-stent technique. Report of two cases. J Neurosurg 106:907–911
Ko YG, Park S, Kim JY, Min PK, Choi EY, Jung JH, Joung B, Choi D, Jang Y, Shim WH (2004) Percutaneous interventional treatment of extracranial vertebral artery stenosis with coronary stents. Yonsei Med J 4:629–634
Levy EI, Hanel RA, Boulos AS, Bendok BR, Kim SH, Gibbons KJ, Qureshi AI, Guterman LR, Hopkins LN (2003) Comparison of periprocedure complications resulting from direct stent placement compared with those due to conventional and staged stent placement in the basilar artery. J Neurosurg 99:653–660
Lin DD, Gailloud P, Beauchamp NJ, Aldrich EM, Wityk RJ, Murphy KJ (2003) Combined stent placement and thrombolysis in acute vertebrobasilar ischemic stroke. AJNR Am J Neuroradiol 24:1827–1833
Lin YH, Juang JM, Jeng JS, Yip PK, Kao HL (2004) Symptomatic ostial vertebral artery stenosis treated with tubular coronary stents: clinical results and restenosis. J Endovasc Ther 11:719–726
Lugmayr H, Kastner M, Frohler W, Meindl S, Zisch R (2004) Die Behandlung symptomatischer extrakranieller Stenosen der Arteria vertebralis mit sirolimusbeschichteten Stents: erste Erfahrungen und Ergebnisse nach 6 Monaten. RöFo 176:1431–1435
Malek AM, Higashida RT, Phatouros CC, Lempert TE, Meyers PM, Gress DR (1999) Treatment of posterior circulation ischemia with extracranial percutaneous balloon angioplasty and stent placement. Stroke 30:2073–2085
du Mesnil de Rochemont R, Turowski B, Buchkremer M, Sitzer M, Zanella FE, Berkefeld J (2004) Recurrent symptomatic high-grade intracranial stenoses: safety and efficacy of undersized stents – initial experience. Radiology 231:45–49
du Mesnil de Rochemont R, Berkefeld J, Buchkremer M, Arndt H, Neumann-Haefelin T, Singer O, Steinmetz H, Zanella F, Sitzer M (2006) Langzeitergebnisse nach Behandlung intrakranieller vertebrobasilarer Stenosen mit Stents. RöFo 178:96–102
Moftakhar R, Turk AS, Niemann DB, Hussain S, Rajpal S, Cook T, Geraghty M, Aagaard-Kienitz B, Turski PA, Newman GC (2005) Effects of carotid or vertebrobasilar stent placement on cerebral perfusion and cognition. AJNR Am J Neuroradiol 26:1772–1780
Ogilvy CS, Yang X, Natarajan SK, Hauck EF, Sun L, Lewis-Mason L et al (2010) Restenosis rates following vertebral artery origin stenting: does stent type make a difference? J Invasive Cardiol 22:119–124
Ralea IC et al (2008) Stenting of symptomatic basilar and vertebral artery stenosis in patients resistant to optimal medical prevention: the Lyon stroke unit experience. Eur Neurol 60:127–131
Steinfort B, Ng PP, Faulder K, Harrington T, Grinnell V, Sorby W, Morgan MK (2007) Midterm outcomes of paclitaxel-eluting stents for the treatment of intracranial posterior circulation stenoses. J Neurosurg 106:222–225
Suh DC, Kim JK, Choi JW, Choi BS, Pyun HW, Choi YJ, Kim MH, Yang HR, Ha HI, Kim SJ, Lee DH, Choi CG, Hahm KD, Kim JS (2008) Intracranial stenting of severe symptomatic intracranial stenosis: results of 100 consecutive patients. AJNR Am J Neuroradiol 29:781–785
Taylor RA, Siddiq F, Suri MF, Martin CO, Hayakawa M, Chaloupka JC (2008) Risk factors for in-stent restenosis after vertebral ostium stenting. J Endovasc Ther 15:203–212
Terada T, Tsuura M, Matsumoto H, Masuo O, Tsumoto T, Yamaga H, Ohura Y, Itakura T (2006) Hemorrhagic complications after endovascular therapy for atherosclerotic intracranial arterial stenoses. Neurosurgery 59:310–318
Tsutsumi M, Kazekawa K, Onizuka M, Kodama T, Matsubara S, Aikawa H, Iko M, Nii K, Etou H, Tanaka A (2007) Stent fracture in revascularization for symptomatic ostial vertebral artery stenosis. Neuroradiology 49:253–257
Vajda Z, Miloslavski E, Güthe T, Fischer S, Albes G, Heuschmid A et al (2009) Treatment of stenoses of vertebral artery origin using short drug-eluting coronary stents: improved follow-up results. AJNR Am J Neuroradiol 30:1653–1656
Weber W, Mayer TE, Henkes H, Kis B, Hamann GF, Schulte-Altedorneburg G, Brueckmann H, Kuehne D (2005) Stent-angioplasty of intracranial vertebral and basilar artery stenoses in symptomatic patients. Eur J Radiol 55:231–236
Weber W, Mayer TE, Henkes H, Kis B, Hamann GF, Holtmannspoetter M, Brueckmann H, Kuehne D (2005) Efficacy of stent angioplasty for symptomatic stenoses of the proximal vertebral artery. Eur J Radiol 56:240–247
Wehman JC, Hanel RA, Guidot CA, Guterman LR, Hopkins LN (2004) Atherosclerotic occlusive extracranial vertebral artery disease: indications for intervention, endovascular techniques, short-term and long-term results. J Interv Cardiol 17:219–232
Werner M, Bräunlich S, Ulrich M, Bausback Y, Schuster J, Lukhaup A et al (2010) Drug-eluting stents for the treatment of vertebral artery origin stenosis. J Endovasc Ther 17:232–240
Zavala-Alarcon E, Emmans L, Little R, Bant A (2008) Percutaneous intervention for posterior fossa ischemia. A single center experience and review of the literature. Int J Cardiol 127:70–77
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Mathias, K. (2013). Endovascular Treatment of Vertebral and Basilar Artery Disease. In: Lanzer, P. (eds) Catheter-Based Cardiovascular Interventions. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27676-7_52
Download citation
DOI: https://doi.org/10.1007/978-3-642-27676-7_52
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-27675-0
Online ISBN: 978-3-642-27676-7
eBook Packages: MedicineMedicine (R0)