机构：[1]Department of Neurology, The First Affiliated Hospital of College of Medicine, Zhejiang University, No. 79 Qing Chun Road, Hangzhou, Zhejiang 310003, China外科系统内科系统泌尿外科神经内科浙江大学医学院附属第一医院[2]Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, No. 6 Tiantan Xili, Beijing 100050, China重点科室医技科室放射科放射科首都医科大学附属天坛医院[3]Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong[4]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China神经科系统神经外科首都医科大学宣武医院
Purpose. The outcome of recanalization in patients with chronic symptomatic intracranial vertebral artery (ICVA) total occlusion is poor. This paper reports the technical feasibility and long-term outcome of ICVA stenting in patients with chronic symptomatic total occlusion. Methods. Retrospective review of our prospectively maintained intracranial intervention database to identify patients with symptomatic total occlusion of ICVA with revascularization attempted > 1 month after index ischemic event. Results. Eight patients (mean age 58 years) were identified. One had stroke and 7 had recurrent transient ischemic attacks. Four had bilateral ICVA total occlusion and 4 had unilateral ICVA total occlusion with severe stenosis contralaterally. Seven of 8 patients underwent endovascular recanalization, which was achieved in 6. Periprocedural complications included cerebellum hemorrhage, arterial dissection, perforation, and subacute in-stent thrombosis which occurred in 3 patients. One patient died of cerebellum hemorrhage. The other patients improved clinically after endovascular therapy. Conclusions. Stent-supported recanalization of ICVA total occlusion is technically feasible, and may become a viable treatment option in selected patients.
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第一作者：
第一作者机构：[1]Department of Neurology, The First Affiliated Hospital of College of Medicine, Zhejiang University, No. 79 Qing Chun Road, Hangzhou, Zhejiang 310003, China
共同第一作者：
通讯作者：
通讯机构：[1]Department of Neurology, The First Affiliated Hospital of College of Medicine, Zhejiang University, No. 79 Qing Chun Road, Hangzhou, Zhejiang 310003, China[2]Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, No. 6 Tiantan Xili, Beijing 100050, China[4]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China
推荐引用方式(GB/T 7714)：
Ziqi Xu ,Ning Ma ,Dapeng Mo ,et al.Endovascular Recanalization for Chronic Symptomatic Intracranial Vertebral Artery Total Occlusion[J].MINIMALLY INVASIVE SURGERY.2014,2014:-.doi:10.1155/2014/949585.
APA：
Ziqi Xu,,Ning Ma,,Dapeng Mo,,Edward Ho chung Wong,,Feng Gao,...&Zhongrong Miao.(2014).Endovascular Recanalization for Chronic Symptomatic Intracranial Vertebral Artery Total Occlusion.MINIMALLY INVASIVE SURGERY,2014,
MLA：
Ziqi Xu,,et al."Endovascular Recanalization for Chronic Symptomatic Intracranial Vertebral Artery Total Occlusion".MINIMALLY INVASIVE SURGERY 2014.(2014):-
