El Koussa Roy, Graft Jaime, Linder Sarah, Bansal Vibhav K
Internal Medicine, Javon Bea Hospital, Rockford, USA.
Interventional Neurology, Javon Bea Hospital, Rockford, USA.
Cureus. 2022 Jan 21;14(1):e21465. doi: 10.7759/cureus.21465. eCollection 2022 Jan.
Vertebral artery ostial stenosis is implicated in one-fifth of all posterior circulation cerebrovascular accidents. However, uniform treatment guidelines and data on the different treatment modalities are still lacking. Endovascular stenting is an emerging therapy for symptomatic vertebral artery ostial stenosis when medical management fails. This manuscript will examine the safety and efficacy of endovascular revascularization with drug-eluting stents in a series of ten consecutive patients that had failed medical management. We also report the rate of complications and in-stent restenosis, as well as the rate of recurrent cerebrovascular accidents.
椎动脉起始部狭窄与五分之一的后循环脑血管意外有关。然而，目前仍缺乏统一的治疗指南以及关于不同治疗方式的数据。当药物治疗无效时，血管内支架置入术是一种针对有症状的椎动脉起始部狭窄的新兴治疗方法。本文将研究药物洗脱支架血管内血运重建术在连续10例药物治疗失败患者中的安全性和有效性。我们还报告了并发症和支架内再狭窄的发生率，以及复发性脑血管意外的发生率。
