Follow-up Study after Intracranial Percutaneous Transluminal Cerebral Balloon Angioplasty

Mori, Takahisa; Fukuoka, Muneyoshi; Kazita, Ken; Mori, Koreaki

doi:10.1177/19714009990120s217

Cited by 63 publications

(100 citation statements)

References 12 publications

(1 reference statement)

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“…Third, patients with high anatomic risks for PTAS have been excluded from the trial. 17 This study includes only M1 stenosis. Basilar artery, which carries a higher procedural risk for stenting according to some authors, are included in SAMMPRIS trial but not in this study.…”

Section: Discussionmentioning

confidence: 99%

“…which could be avoided by proper patient screening. 17 We hypothesized intracranial angioplasty and stenting plus medical therapy was better than medical therapy alone in patients with symptomatic severe MCA stenosis who are at low risk for endovascular therapy. We started a prospective, randomized, controlled, single-center clinical trial to test this hypothesis in 2007 in Xuanwu Hospital.…”

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confidence: 99%

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Randomized Controlled Trial of Symptomatic Middle Cerebral Artery Stenosis

Miao

Jiang

et al. 2012

Stroke

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Another study demonstrated anatomic features related to high complication rate of intracranial angioplasty and stenting, Background and Purpose-To investigate the efficacy and safety of percutaneous transluminal angioplasty and stenting (PTAS) for symptomatic middle cerebral artery stenosis compared with standard medical treatment in a low-risk Chinese population. Methods-A prospective, randomized, controlled, single-center clinical trial was conducted comparing PTAS with medical treatment for symptomatic middle cerebral artery stenosis (≥70%). Patients were enrolled according to 1:1 enroll ratio (PTAS: medical). The PTAS group received stenting or balloon angioplasty, whereas the medical treatment group received standard medical treatment (aspirin 100 mg plus clopidogrel 75 mg/d), and all the patients were under strict control of the risk factors. The end point events were any kind of ipsilateral stroke or transient ischemic attack, or death from any origin during 1-year follow-up. Results-The enrollment was stopped after 70 patients were enrolled from August 2007 to December 2010, with a 30-day rate of end point events of 8.3% versus 5.9% (P=0.69) for PTAS and medical group, respectively, and 1-year rate of end point events of 19.4% versus 17.6% (P=0.85), respectively. There was no significant difference in baseline characteristics between the 2 groups. The mean follow-up time, which was ongoing, was 9.9 ± 3.9 and 9.7 ± 4.4 months, respectively. Among the risk factors, hypertension was the independent related to the outcome (P=0.015). Conclusions-This study showed that endovascular treatment is as safe but not better than medical treatment for symptomatic middle cerebral artery stenosis in a low-risk Chinese population. History of hypertension increases the risk of recurrent ischemic events.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Randomized Controlled Trial of Symptomatic Middle Cerebral Artery Stenosis

Miao

Jiang

et al. 2012

Stroke

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“…In types B and C, however, the risk was high, and effective dilatation could not be achieved in many patients. 6) To overcome such problems with the balloon catheter, metal stents were introduced with a high expectation, and their effectiveness and favorable therapeutic results have been reported. 7,8) We used coronary stenosis in majority of cases.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Stenting for Intracranial Internal Carotid Artery Stenosis Using Flow Reversal

Matsuda

Satoh

Hanaoka

et al. 2018

JNET

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“…A revascularização endovascular pode beneficiar pacientes com comprometimento hemodinâmico devido a atero s c l e rose intracraniana 2 7 . A indicação da angioplastia com ou sem stent é feita com o insucesso do tratamento clínico e tem sido empregada em combinação com trombólise intra-arterial (IA), pro p i c i a ndo restauração do diâmetro vascular e reduzindo as complicações locais, entretanto, os resultados variam conforme a complexidade das lesões 28 . São exemplos desta situação a refratariedade da oclusão ao trombolítico, a reoclusão da artéria submetida à trombólise, presença de estenose crítica na origem da artéria vertebral após à lise de um tro m b o distal à estenose 2 9 .…”

Section: Angioplastia E Uso De "Stent"unclassified

Revascularização clínica e intervencionista no acidente vascular cerebral isquêmico agudo: opinião nacional

Raffin¹,

Fernandes²,

Evaristo³

et al. 2006

Arq. Neuro-Psiquiatr.

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. O fórum de "Opinião Nacional" foi realizado em São Paulo-SP, no dia 1º de julho de 2004. Os temas de trabalho foram divididos para análise inicial por grupos de 5 a 6 neuro l o g i s t a s . Os coordenadores do presente tema foram os Drs. Cesar N. Raffin e Jefferson Gomes Fernandes. Um esboço de texto foi proposto para análise em plenário em leitura pública. Comentários, críticas e sugestões de mudanças foram amplamente debatidos por este plenário e incorporados ao texto final, redigido pelo grupo responsável pelo tema. RESUMO -Este artigo apresenta as conclusões sobre revascularização clínica e intervencionista no acidente vascular cerebral isquêmico agudo, um dos temas discutidos na reunião "Opinião Nacional sobre o Tr a t a m e n t o do AVC". Tratou-se de reunião promovida e coordenada pela Sociedade Brasileira de Doenças Cere b ro v a s c u l a re s , com neurologistas especializados em doenças cere b ro v a s c u l a res, que analisaram e discutiram as evidências e experiências atuais sobre o uso de trombólise e técnicas intervencionistas em pacientes com acidente vascular c e rebral isquêmico agudo.PALAVRAS-CHAVE: acidente vascular cerebral agudo, trombólise, opinião nacional. Clinical and interventional revascularization in the acute ischemic stroke: national opinionABSTRACT -The Brazilian Stroke Society constituted a committee composed by specialists from diff e rent are a s of Brazil that emitted a viewpoint called "National Opinion" , considering the interventional pro c e d u res and t h rombolysis in the treatment of the acute ischemic stroke. This study presents the conclusions of this committee.KEY WORDS: ischemic stroke, thrombolysis, national opinion.nos Estados Unidos da América, em junho de 1996, do ativador do plasminogênio tissular re c o m b i n a n t e (rt-PA) como trombolítico para o uso em casos selecionados de acidente vascular cerebral (AVC) isquê-mico agudo, veio reforçar a estratégia estabelecida nos últimos anos de considerar o AVC como uma emergência médica 4,5 . Existe uma "janela terapêutica" para o tratamento do AVC, ou seja, um momento ótimo para interv i r nos processos patológicos desencadeados pela isquemia cerebral no sentido de minimizar o dano ao sistema nervoso central 6 . Esta janela terapêutica, na maAs doenças cere b ro v a s c u l a res têm um grande impacto sobre a saúde da população, situando-se, conf o rme o ano e o Estado da Federação, entre a primeira e terceira principal causa de mortalidade no Brasil 1 . Estas doenças são compostas por um grupo heterogêneo de transtornos vasculares de diferentes etiol o g i a s 2 . Estima-se que cerca de 85% dos acidentes v a s c u l a res encefálicos sejam de origem isquêmica e 15% hemorrágicos. Dentre os hemorrágicos, cerc a de 10% são hemorragias intraparenquimatosas e 5% hemorragias subaracnóideas 3 . A aprovação pela "Federal Drug Administration",

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Follow-up Study after Intracranial Percutaneous Transluminal Cerebral Balloon Angioplasty

Abstract: Summary

Cited by 63 publications

References 12 publications

Randomized Controlled Trial of Symptomatic Middle Cerebral Artery Stenosis

Randomized Controlled Trial of Symptomatic Middle Cerebral Artery Stenosis

Evaluation of Stenting for Intracranial Internal Carotid Artery Stenosis Using Flow Reversal

Revascularização clínica e intervencionista no acidente vascular cerebral isquêmico agudo: opinião nacional

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