Universität zu Köln

von Schoenfeldt, Patrick, Kruetzelmann, Anna, Bussmeyer, Matthias, Mpotsaris, Anastasios ORCID: 0000-0002-1275-8164, Rosenkranz, Michael, Fiehler, Jens, Weber, Werner ORCID: 0000-0001-9825-8074 and Buhk, Jan-Hendrik (2015). Elective treatment of intracranial stenosis with the balloon-expandable Pharos Vitesse stent: 30-day stroke rate and complications. J. NeuroInterventional Surg., 7 (3). S. 188 - 194. LONDON: BMJ PUBLISHING GROUP. ISSN 1759-8486

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Abstract

Background and purpose Analysis of procedural results and 30-day outcome after intracranial angioplasty and stenting (ICAS) with the balloon-expandable Pharos Vitesse stent system in carefully selected high-risk patients in two high-volume neurovascular centers. Materials and methods 92 patients scheduled for elective ICAS using Pharos Vitesse between August, 2008 and August, 2011 were included. All patients showed high-grade intracranial stenosis and recurrent ischemic events despite best medical treatment at that time. The stroke rates and complications were divided into procedural and 30-day short-term events. Results Successful stent placement was achieved in all but one patient. Ischemic procedural complications occurred in three subjects. 30-Day complications and strokes were seen in four patients: two minor ischemic strokes, one fatal hemorrhage and one non-stroke-related death. Overall, strokes occurred in 6 out of 92 patients (6.5%, 95% CI 3.0% to 13.5%). The total stroke and death rate was 7.6% (95% CI 3.7% to 14.9%). No significant correlation with previously reported risk factors could be found, although a higher rate of ischemic strokes (four out of five) in the posterior circulation was recorded. Conclusions In patients with intracranial stenosis who experience recurrent ischemic events despite best medical treatment, ICAS, using the balloon-expandable Pharos Vitesse stent, may still be considered as an individual treatment option in high-volume neurovascular centers.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code von Schoenfeldt, Patrick UNSPECIFIED UNSPECIFIED UNSPECIFIED Kruetzelmann, Anna UNSPECIFIED UNSPECIFIED UNSPECIFIED Bussmeyer, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Mpotsaris, Anastasios UNSPECIFIED orcid.org/0000-0002-1275-8164 UNSPECIFIED Rosenkranz, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Fiehler, Jens UNSPECIFIED UNSPECIFIED UNSPECIFIED Weber, Werner UNSPECIFIED orcid.org/0000-0001-9825-8074 UNSPECIFIED Buhk, Jan-Hendrik UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-406944
DOI:	10.1136/neurintsurg-2013-011019
Journal or Publication Title:	J. NeuroInterventional Surg.
Volume:	7
Number:	3
Page Range:	S. 188 - 194
Date:	2015
Publisher:	BMJ PUBLISHING GROUP
Place of Publication:	LONDON
ISSN:	1759-8486
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language AGGRESSIVE MEDICAL-MANAGEMENT; PREVENTING RECURRENT STROKE; PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; BASILAR ARTERY-STENOSIS; SAMMPRIS TRIAL; ATHEROSCLEROTIC STENOSES; FOLLOW-UP; THERAPY; WINGSPAN; REGISTRY Multiple languages Neuroimaging; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/40694