机构：[1]Department of Neurology and Interventional Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China[2]Department of Neurosurgery, Wayne State University School of Medicine, Detroit, MI, USA[3]Department of Interventional Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China重点科室诊疗科室神经病学中心神经病学中心首都医科大学附属天坛医院
Objectives: To compare the technical and 1-year outcomes of balloon-mounted versus self-expanding stents for symptomatic intracranial vertebrobasilar artery stenosis. Methods: 167 patients with severe intracranial vertebrobasilar artery atherosclerotic stenosis with poor collaterals were enrolled. Both balloon-mounted stenting and self-expanding stent placement were selected to treat patients. The baseline characteristics, cerebral angiography and clinical follow-up were assessed between the two groups. Results: The overall mean stenosis degree was reduced from 82.8 +/- 11.8% pre-stent placement to 9.41 +/- 8.20% post-stent placement. Patients treated with self-expanding stent were more likely to undergo general anesthesia (81.2% versus 67.3%; P = 0.048) and have longer operative times (91.0 +/- 25.1 min versus 67.9 +/- 17.1 min, P = 0.012) than those treated with self-expanding stents. Patients treated with self-expanding stents were more likely to require longer and larger diameter stents (14.99 +/- 3.26 mm versus 9.23 +/- 2.46 mm, P = 0.000; 3.28 +/- 0.57 mm versus 2.74 +/- 0.30 mm, P = 0.000, respectively). The degree of residual stenosis in self-expanding stent group was higher than patients treated with balloon-mounted stents (13.39 +/- 8.64% versus 6.70 +/- 6.62%, P = 0.000). The rates of stroke, transient ischemic attack or death at 1-year follow-up were not significantly different between two groups (P > 0.05). Conclusions: Stenting for patients with severe symptomatic intracranial vertebrobasilar arterial stenosis with poor collaterals can be performed safely with efficacy. Patients treated with balloon-mounted stents appear to have shorter operative times and lower re-stenosis rates than treated with self-expanding stents.
基金：
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81371290]; Beijing High-level Personnel Funds [2013-2-019]; Beijing Propaganda Department [2013-2-019]
第一作者机构：[1]Department of Neurology and Interventional Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China
通讯作者：
通讯机构：[1]Department of Neurology and Interventional Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China[*1]Department of Neurology and Interventional Neurology, The Affiliated Hospital of Qingdao University, No.16 Jiangsu Road, Qingdao 266000, China
推荐引用方式(GB/T 7714)：
Zhang Yong,Rajah Gary B.,Liu Peng,et al.Balloon-mounted versus self-expanding stents for symptomatic intracranial vertebrobasilar artery stenosis combined with poor collaterals[J].NEUROLOGICAL RESEARCH.2019,41(8):704-713.doi:10.1080/01616412.2019.1610837.
APA：
Zhang, Yong,Rajah, Gary B.,Liu, Peng,Sun, Yujie,Liu, Tonghui...&Li, Guangwen.(2019).Balloon-mounted versus self-expanding stents for symptomatic intracranial vertebrobasilar artery stenosis combined with poor collaterals.NEUROLOGICAL RESEARCH,41,(8)
MLA：
Zhang, Yong,et al."Balloon-mounted versus self-expanding stents for symptomatic intracranial vertebrobasilar artery stenosis combined with poor collaterals".NEUROLOGICAL RESEARCH 41..8(2019):704-713
