Intracranial
Intracranial Stent Placement for Recanalization of Acute
Cerebral Artery Occlusion
Shilei Sun1,Tan Song1; Xu Haowen2;
Chandra Avinash 1, Xu Yuming1
1. Department of Neurology,
the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052,
China.
2 Department of Interventional Radiology, the
First Affiliated Hospital of Zhengzhou University,
Zhengzhou, Henan 450052, China
Co-first
author: Tan Song; Corresponding author: Xu Yuming, [email protected]
Abstract: To
retrospectively evaluate the feasibility, efficacy, and safety of intracranial
artery recanalization for acute ischemic stroke (AIS) using a self-expandable
stent. All patients treated with an intracranial stent for acute cerebral
artery occlusion were included. Treatment comprised intraarterial thrombolysis,
balloon angioplasty and stent placement. Recanalization result was assessed by
follow-up angiography immediately after stent placement. Complications related
to the procedure and outcome at 3 months were assessed. Twelve patients (median
NIHSS 14, mean age 63 years) were treated with intracranial stents for AIS.
Occlusions were located in the posterior vertebrobasilar circulation (n=6) and
in the anterior circulation (n=6). Stent placement was feasible in all
procedures and resulted in partial or complete recanalization (TIMI 2/3) in
92%. No vessel perforations, subarachnoid, or symptomatic intracerebral
hemorrhages occurred. Three patients (25%) had a good outcome (mRS 0 to 2), 3
(25%) a moderate outcome (mRS 3), and 6 (50%) a poor outcome (mRS 4 to 6).
Mortality was 33.3%. Intracranial stent placement for AIS management has
an excellent recanalization rate. However, it is associated with high
complication risks as our series showed. We believe that the decision to treat
acute ischemic stroke with intracranial stent placement should be made after
careful consideration of potential benefits and risks
[Shilei Sun,Tan Song; Xu Haowen; Chandra Avinash,
Xu Yuming. Intracranial Stent Placement for Recanalization of Acute
Cerebral Artery Occlusion. Life Sci J 2012;9(1):64-66] (ISSN:1097-8135). http://www.lifesciencesite.com. 11
Keywords: Intracranial stent; Recanalization Full Text 11
