Primary balloon angioplasty for symptomatic, high-grade intracranial stenosis

Tomycz, Luke; Bansal, Neil K.; Lockney, Tim; Strothers, Megan; Connors, John J.; Shay, Scott; Singer, Robert D.

doi:10.4103/2152-7806.107542

Cited by 3 publications

(2 citation statements)

References 14 publications

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“… 2) Twenty-six of primary angioplasty patients treated between 2006 and 2011 were retrospectively reviewed. 3) The stenosis rate improved from 71.2% to 46.6%, and retreatment was required for only 3.8% of these patients. The 30-day stroke or death rate of 11.5% in this balloon angioplasty series was higher than that in the medical arm of SAMMPRIS but was lower in the stenting arm.…”

Section: Discussionmentioning

confidence: 86%

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Reappraisal of Primary Balloon Angioplasty without Stenting for Patients with Symptomatic Middle Cerebral Artery Stenosis

Okada

Terada

Tanaka

et al. 2015

Neurol. Med. Chir.(Tokyo)

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There is a controversy regarding the safety and efficacy of intracranial stenting. We describe our experience with primary balloon angioplasty without stenting for symptomatic middle cerebral artery (MCA) stenosis. All patients who underwent balloon angioplasty without stenting for MCA stenosis between 1996 and 2010 were retrospectively reviewed. We evaluated technical success rates, degrees of stenosis, and stroke or death within 30 days. Among patients who were followed-up for > 1 year we evaluated latest functional outcomes, stroke recurrence at 1 year, and restenosis. In total 45/47 patients (95.7%) were successfully treated. Average pre-and postprocedure stenosis rates were 79.9% and 39.5%, respectively. Three neurological complications occurred within 30 days: one thromboembolism during the procedure; one lacunar infarction; and one fatal intraparenchymal hemorrhage after the procedure. Stroke or death rate within 30 days was 6.4%. Thirty-three patients were available for follow-up analysis with a mean period of 51.5 months. The combined rate of stroke or death within 30 days and ipsilateral ischemic stroke of the followed-up patients within 1 year beyond 30 days was 9.4%. Restenosis was observed in 26.9% of patients and all remained asymptomatic. In our retrospective series, balloon angioplasty without stenting was a safe, effective modality for symptomatic MCA stenosis. For patients refractory to medical therapy, primary balloon angioplasty may offer a better supplemental treatment option.

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Section: Discussionmentioning

confidence: 86%

“…Recently, some reports reappraised primary angioplasty without stenting for intracranial stenosis. 2 , 3) …”

Section: Introductionmentioning

confidence: 99%

Reappraisal of Primary Balloon Angioplasty without Stenting for Patients with Symptomatic Middle Cerebral Artery Stenosis

Okada

Terada

Tanaka

et al. 2015

Neurol. Med. Chir.(Tokyo)

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Safety and efficacy of balloon angioplasty in symptomatic intracranial stenosis: A systematic review and meta-analysis

Kadooka

Hagenbuch

Anagnostakou

et al. 2020

Journal of Neuroradiology

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Balloons in Endovascular Neurosurgery

Alaraj¹,

Wallace²,

Dashti³

et al. 2014

Neurosurgery

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The use of balloons in the field of neurosurgery is currently an essential part of our clinical practice. The field has evolved over the last 40 years since Serbinenko used balloons to test the feasibility of occluding cervical vessels for intracranial pathologies. Since that time, indications have expanded to include sacrificing cervical and intracranial vessels with detachable balloons, supporting the coil mass in wide-necked aneurysms (balloon remodeling technique), and performing intracranial and cervical angioplasty for atherosclerotic disease, as well as an adjunct to treat arteriovenous malformations. With the rapid expansion of endovascular technologies, it appears that the indications and uses for balloons will continue to expand. In this article, we review the history of balloons, the initial applications, the types of balloons available, and the current applications available for endovascular neurosurgeons.

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Primary balloon angioplasty for symptomatic, high-grade intracranial stenosis

Cited by 3 publications

References 14 publications

Reappraisal of Primary Balloon Angioplasty without Stenting for Patients with Symptomatic Middle Cerebral Artery Stenosis

Reappraisal of Primary Balloon Angioplasty without Stenting for Patients with Symptomatic Middle Cerebral Artery Stenosis

Safety and efficacy of balloon angioplasty in symptomatic intracranial stenosis: A systematic review and meta-analysis

Balloons in Endovascular Neurosurgery

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