Recanalization of symptomatic vertebral ostial occlusion in patients with acute or subacute stroke
Vertebral artery recanalization in symptomatic stenosis/occlusion remains controversial, as no definite evidence exists regarding this topic. There are only a few reports regarding the feasibility and safety of recanalization in the first segment of the vertebral artery with atherosclerotic vertebra...
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| Veröffentlicht in: | American journal of neuroradiology : AJNR 2014-02, Vol.35 (2), p.367-372 |
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| container_title | American journal of neuroradiology : AJNR |
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| creator | Park, S Lee, D-G Shim, J H Lee, D H Suh, D C |
| description | Vertebral artery recanalization in symptomatic stenosis/occlusion remains controversial, as no definite evidence exists regarding this topic. There are only a few reports regarding the feasibility and safety of recanalization in the first segment of the vertebral artery with atherosclerotic vertebral ostial occlusion. We report our experience treating first segment occlusion in 8 patients and present a balloon protection technique used to reduce the thromboembolic burden during the stent placement procedure. The outcome at 3 months showed an mRS ≤2 except for a patient with a poor initial status with basilar artery occlusion. Revascularization of a rather long first segment occlusion is technically feasible and can be safely performed by use of embolic protection methods. |
| doi_str_mv | 10.3174/ajnr.A3681 |
| format | Article |
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There are only a few reports regarding the feasibility and safety of recanalization in the first segment of the vertebral artery with atherosclerotic vertebral ostial occlusion. We report our experience treating first segment occlusion in 8 patients and present a balloon protection technique used to reduce the thromboembolic burden during the stent placement procedure. The outcome at 3 months showed an mRS ≤2 except for a patient with a poor initial status with basilar artery occlusion. Revascularization of a rather long first segment occlusion is technically feasible and can be safely performed by use of embolic protection methods.</description><identifier>ISSN: 0195-6108</identifier><identifier>EISSN: 1936-959X</identifier><identifier>DOI: 10.3174/ajnr.A3681</identifier><identifier>PMID: 23907242</identifier><language>eng</language><publisher>United States: American Society of Neuroradiology</publisher><subject>Acute Disease ; Aged ; Cerebral Revascularization - instrumentation ; Cerebral Revascularization - methods ; Female ; Humans ; Interventional ; Male ; Middle Aged ; Radiography ; Stroke - diagnostic imaging ; Stroke - etiology ; Stroke - surgery ; Treatment Outcome ; Vertebrobasilar Insufficiency - complications ; Vertebrobasilar Insufficiency - diagnostic imaging ; Vertebrobasilar Insufficiency - surgery</subject><ispartof>American journal of neuroradiology : AJNR, 2014-02, Vol.35 (2), p.367-372</ispartof><rights>2014 by American Journal of Neuroradiology 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c378t-a1033a72ddf7f07d8518c1f6b06036729eb4440b37e99bdee245c0ebb434b09a3</citedby><cites>FETCH-LOGICAL-c378t-a1033a72ddf7f07d8518c1f6b06036729eb4440b37e99bdee245c0ebb434b09a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7965741/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7965741/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23907242$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, S</creatorcontrib><creatorcontrib>Lee, D-G</creatorcontrib><creatorcontrib>Shim, J H</creatorcontrib><creatorcontrib>Lee, D H</creatorcontrib><creatorcontrib>Suh, D C</creatorcontrib><title>Recanalization of symptomatic vertebral ostial occlusion in patients with acute or subacute stroke</title><title>American journal of neuroradiology : AJNR</title><addtitle>AJNR Am J Neuroradiol</addtitle><description>Vertebral artery recanalization in symptomatic stenosis/occlusion remains controversial, as no definite evidence exists regarding this topic. There are only a few reports regarding the feasibility and safety of recanalization in the first segment of the vertebral artery with atherosclerotic vertebral ostial occlusion. We report our experience treating first segment occlusion in 8 patients and present a balloon protection technique used to reduce the thromboembolic burden during the stent placement procedure. The outcome at 3 months showed an mRS ≤2 except for a patient with a poor initial status with basilar artery occlusion. Revascularization of a rather long first segment occlusion is technically feasible and can be safely performed by use of embolic protection methods.</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Cerebral Revascularization - instrumentation</subject><subject>Cerebral Revascularization - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Interventional</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radiography</subject><subject>Stroke - diagnostic imaging</subject><subject>Stroke - etiology</subject><subject>Stroke - surgery</subject><subject>Treatment Outcome</subject><subject>Vertebrobasilar Insufficiency - complications</subject><subject>Vertebrobasilar Insufficiency - diagnostic imaging</subject><subject>Vertebrobasilar Insufficiency - surgery</subject><issn>0195-6108</issn><issn>1936-959X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkVFLHDEUhYNYuqvtS3-A5FGEsckkk0xehEW0FhYEUfAtJJk7mu3MZE0ylvXXd7a7Fft07uV-nHvgIPSNknNGJf9uVkM8XzBR0wM0p4qJQlXq8RDNCVVVISipZ-gopRUhpFKy_IxmJVNElrycI3sHzgym828m-zDg0OK06dc59NPu8CvEDDaaDoeU_Vac68a0Jf2A1xMDQ074t8_P2LgxAw4Rp9Hu5pRj-AVf0KfWdAm-7vUYPVxf3V_eFMvbHz8vF8vCMVnnwlDCmJFl07SyJbKpK1o72gpLBGFClgos55xYJkEp2wCUvHIErOWMW6IMO0YXO9_1aHto3JRsCq7X0fcmbnQwXv9_GfyzfgqvWipRSU4ng9O9QQwvI6Sse58cdJ0ZIIxJU64UZUIoNqFnO9TFkFKE9v0NJXpbit6Wov-WMsEnH4O9o_9aYH8ADAWL2g</recordid><startdate>201402</startdate><enddate>201402</enddate><creator>Park, S</creator><creator>Lee, D-G</creator><creator>Shim, J H</creator><creator>Lee, D H</creator><creator>Suh, D C</creator><general>American Society of Neuroradiology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201402</creationdate><title>Recanalization of symptomatic vertebral ostial occlusion in patients with acute or subacute stroke</title><author>Park, S ; Lee, D-G ; Shim, J H ; Lee, D H ; Suh, D C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c378t-a1033a72ddf7f07d8518c1f6b06036729eb4440b37e99bdee245c0ebb434b09a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acute Disease</topic><topic>Aged</topic><topic>Cerebral Revascularization - instrumentation</topic><topic>Cerebral Revascularization - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Interventional</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radiography</topic><topic>Stroke - diagnostic imaging</topic><topic>Stroke - etiology</topic><topic>Stroke - surgery</topic><topic>Treatment Outcome</topic><topic>Vertebrobasilar Insufficiency - complications</topic><topic>Vertebrobasilar Insufficiency - diagnostic imaging</topic><topic>Vertebrobasilar Insufficiency - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, S</creatorcontrib><creatorcontrib>Lee, D-G</creatorcontrib><creatorcontrib>Shim, J H</creatorcontrib><creatorcontrib>Lee, D H</creatorcontrib><creatorcontrib>Suh, D C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of neuroradiology : AJNR</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, S</au><au>Lee, D-G</au><au>Shim, J H</au><au>Lee, D H</au><au>Suh, D C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recanalization of symptomatic vertebral ostial occlusion in patients with acute or subacute stroke</atitle><jtitle>American journal of neuroradiology : AJNR</jtitle><addtitle>AJNR Am J Neuroradiol</addtitle><date>2014-02</date><risdate>2014</risdate><volume>35</volume><issue>2</issue><spage>367</spage><epage>372</epage><pages>367-372</pages><issn>0195-6108</issn><eissn>1936-959X</eissn><abstract>Vertebral artery recanalization in symptomatic stenosis/occlusion remains controversial, as no definite evidence exists regarding this topic. There are only a few reports regarding the feasibility and safety of recanalization in the first segment of the vertebral artery with atherosclerotic vertebral ostial occlusion. We report our experience treating first segment occlusion in 8 patients and present a balloon protection technique used to reduce the thromboembolic burden during the stent placement procedure. The outcome at 3 months showed an mRS ≤2 except for a patient with a poor initial status with basilar artery occlusion. Revascularization of a rather long first segment occlusion is technically feasible and can be safely performed by use of embolic protection methods.</abstract><cop>United States</cop><pub>American Society of Neuroradiology</pub><pmid>23907242</pmid><doi>10.3174/ajnr.A3681</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Acute Disease Aged Cerebral Revascularization - instrumentation Cerebral Revascularization - methods Female Humans Interventional Male Middle Aged Radiography Stroke - diagnostic imaging Stroke - etiology Stroke - surgery Treatment Outcome Vertebrobasilar Insufficiency - complications Vertebrobasilar Insufficiency - diagnostic imaging Vertebrobasilar Insufficiency - surgery |
| title | Recanalization of symptomatic vertebral ostial occlusion in patients with acute or subacute stroke |
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