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Stenting for symptomatic intracranial arterial stenosis in China: 1-year outcome of a multicentre registry study

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收录情况： ◇ SCIE

作者：
Ning Ma,[1] * ; Yong Zhang[2] ; Jie Shuai,[3] ; Changchun Jiang,[4] ; Qiyi Zhu,[5] ; Kangning Chen,[6] ; Li Liu,[7] ; Baomin Li,[8] ; Xiangqun Shi,[9] ; Lianbo Gao,[10] ; Yajie Liu,[11] ; Feng Wang,[12] ; Yongli Li,[13] ; Tieyan Liu,[14] ; Hongbo Zheng,[15] ; Dapeng Mo,[1] ; Feng Gao,[1] ; Yilong Wang,[16] ; Yongjun Wang,[16] ; Lei Feng,[17] ; Zhongrong Miao,[1] ;
机构： [1]Department of Interventional Neurology, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Diseases, Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China [2]Department of Neurology, The Affiliated Hospital of Qingdao University Medical College, Qingdao, China [3]Department of Neurology, Xin Qiao Hospital, Third Military Medical University, Chongqing, China [4]Department of Neurology, Baotou Central Hospital, Baotou, China [5]Department of Neurology, Linyi People's Hospital, Linyi, China [6]Department of Neurology, Xi Nan Hospital, Third Military Medical University, Chongqing, China [7]Department of Neurology, The Hospital of Chifeng City, Chifeng, China [8]Department of Neurosurgery, The PLA General Hospital, Beijing, China [9]Department of Neurology, The Lanzhou General Hospital of PLA, Lanzhou, China [10]Department of Neurology, The Affiliated Fourth Hospital of China Medical University, Shenyang, China [11]Department of Neurology, Zhujiang Hospital, Southern Medical University, Guangzhou, China [12]Department of Interventional Therapy, The First Affiliated Hospital of Dalian Medical University, Dalian, China [13]Department of Neurosurgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, China [14]Department of Interventional Radiology, Cangzhou Central Hospital, Cangzhou, China [15]Department of Neurology, West China Hospital, Sichuan University, Chengdu, China [16]Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Diseases, Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China [17]Departments of Radiology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, USA
出处：
DOI： 10.1136/svn-2017-000137
ISSN：

关键词： angioplasty and stenting atherosclerosis intracranial stenosis

摘要：
Background and purpose A multicentre prospective registry study of individually tailored stenting for a patient with symptomatic intracranial atherosclerotic stenosis (ICAS) combined with poor collaterals in China showed that the short-term safety and efficacy of stenting was acceptable. However, it remained uncertain whether the low event rate could be of a long term. We reported the 1-year outcome of this registry study to evaluate the long-term efficacy of individually tailored stenting for patients with severe symptomatic ICAS combined with poor collaterals. Methods Patients with symptomatic ICAS caused by 70%-99% stenosis located at the intracranial internal carotid, middle cerebral, intracranial vertebral or basilar arteries combined with poor collaterals were enrolled. Balloon-mounted stent or balloon plus self-expanding stent were selected based on the ease of vascular access and lesion morphology determined by the operators. The primary outcome was the rate of 30-day stroke, transient ischaemic attack and death, and 12-month ischaemic stroke within the same vascular territory, haemorrhagic stroke and vascular death after stenting. Results From September 2013 to January 2015, 300 patients (ages 58.3±9.78 years) were recruited. Among them, 159 patients were treated with balloon-mounted stent and 141 with balloon plus self-expanding stent. During the 1-year follow-up, 25 patients had a primary end point event. The probability of primary outcome at 1 year was 8.1% (95% CI 5.3% to 11.7%). In 76 patients with digital subtraction angiography follow-up, 27.6% (21/76) had re-stenosis ≥50% and 18.4% (14/76) had re-stenosis ≥70%. No baseline characteristic was associated with the primary outcome. Conclusion The event rate remains low over 1 year of individually tailored stenting for patients with severe symptomatic ICAS combined with poor collaterals. Further randomised trial of comparing individually tailored stenting with best medical therapy is needed. © 2018 Article author(s). All rights reserved.

基金：
Study concept and design: YLW, YJW, NM and ZRM. Acquisition of clinical data: NM, YZ, JS, CCJ, QYZ, KNC, LL, BML, XQS, LBG, YJL, FW, YLL, TYL, HBZ, DPM, FG and The Study Group of Registry Study of Stenting for Symptomatic Intracranial Artery Stenosis in China. Analysis and interpretation of data: NM, FL and ZRM. Drafting of the manuscript: NM, FL and ZRM. Critical revision of the manuscript for important intellectual content: YJW and ZRM. Statistical analysis: NM. Funding This work is supported by National Natural Science Foundation of China (81371290), Beijing High-level Personnel Funds (2013-2-019). This study is also funded by the National Science and Technology Support Program of ‘The 12th Five-Year Plan’ of the Ministry of Science and Technology (2011BAI08B02). Competing interests None declared. Patient consent Next of kin consent obtained. ethics approval Each site’s institutional review board or ethics committee. Provenance and peer review Not commissioned; internally peer reviewed. open access This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/ licenses/by-nc/4.0/ ? Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2017]版：
无
最新[2023]版：
大类 | 1 区 医学
小类 | 2 区 临床神经病学
JCR分区：
出版当年[2016]版：
无
最新[2023]版：
Q1 CLINICAL NEUROLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版]

第一作者：
第一作者机构： [1]Department of Interventional Neurology, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Diseases, Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China
通讯作者：
通讯机构： [1]Department of Interventional Neurology, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Diseases, Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China
推荐引用方式(GB/T 7714)：
Ning Ma ,Yong Zhang,Jie Shuai ,et al.Stenting for symptomatic intracranial arterial stenosis in China: 1-year outcome of a multicentre registry study[J].Stroke and Vascular Neurology.2018,3(3):176-184.doi:10.1136/svn-2017-000137.
APA：
Ning Ma,,Yong Zhang,Jie Shuai,,Changchun Jiang,,Qiyi Zhu,...&Zhongrong Miao,.(2018).Stenting for symptomatic intracranial arterial stenosis in China: 1-year outcome of a multicentre registry study.Stroke and Vascular Neurology,3,(3)
MLA：
Ning Ma,,et al."Stenting for symptomatic intracranial arterial stenosis in China: 1-year outcome of a multicentre registry study".Stroke and Vascular Neurology 3..3(2018):176-184

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