Application of solitaire stents in treatment of intracranial arterial atherosclerotic stenosis

doi:10.3877/cma.j.issn.2095-5782.2015.03.001

Abstract

Abstract:

Objective

To explore the feasibility of Solitaire self-expanding stent in the treatment of intracranial arterial stenosis.

Methods

Five patients with intracranial arterial atherosclerotic stenosis were reviewed, in whom angioplasty with solitaire stents were performed, and a total of 6 stents were placed. Lesions located in the middle cerebral artery M1 segment in 3 cases, basilar artery segment in 1 case, and internal artery C2 segment in 1 case. The length of lesion was (8+2.9)mm, the stenosis rate was (73+8.5)%.

Results

All patients were received Solitaire stents implanation successfully. Residual stenosis rate was (14+4.2)%. The mean follow-up time of DSA was 10.5 months, no stent restenosis occurred. Twice transient ischemia attack were happened in 1 patient.

Conclusions

The use of Solitaire self-expanding stent could be feasibility for angioplasty for severe intracranial stenosis, but it needs further study.

Key words: Intracranial artery, Stenosis, Stents

He Liu, Hongliang Zhong, Jianwen Jia, Ying Li, Yongquan Sun. Application of solitaire stents in treatment of intracranial arterial atherosclerotic stenosis[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2015, 03(03): 115-118.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2015.03.001

https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2015/V03/I03/115

Figures/Tables 1

References 12

1	Ka Sing W, Huan L, Lam WWM, et al. Progression of middle cerebral artery occlusive disease and its relationship with further vascular events after stroke[J]. Stroke, 2002,33(2):532-536.
2	Pu Y, Dou X, Liu L. Natural history of intracranial atherosclerotic disease[J]. Frontiers in Neurology, 2014,5:125.
3	Chimowitz MI, Lynn MJ, Derdeyn CP, et al. Stenting versus aggressive medical therapy for intracranial arterial stenosis[J]. N Engl J Med, 2011,365(11):993-1003.
4	Motoaki F, Yasuhiro S, Koichiro T, et al. Structural analysis for Wingspan stent in a perforator model[J]. Interv Neuroradiol,2013,19(3):271-275.
5	Zhao L B, Park S, Lee D, et al. Mechanism of procedural failure related to wingspan[J]. Neurointervention, 2012,7(2):102-108.
6	North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis[J]. N Engl J Med, 1991,325(7):445-453.
7	Derdeyn CP, Chimowitz MI, Lynn MJ, et al. Aggressive medical treatment with or without stenting in high-risk patients with intracranial artery stenosis (SAMMPRIS): the final results of a randomised trial[J]. Lancet,2014,383(9914):333-341.
8	David F, Levy EI, Turk AS, et al. US multicenter experience with the wingspan stent system for the treatment of intracranial atheromatous disease: periprocedural results[J]. Stroke, 2007,38(3):881-887.
9	Clajus C, Sychra V, Strasilla C, et al. Stent-assisted coil embolization of intracranial aneurysms using the Solitaire™ AB Neurovascular Remodeling Device: Initial and midterm follow-up results[J]. Neuroradiology, 2013,55(5):629-638.
10	Huded V, Nair RR, Vyas DD, et al. Stent-assisted coiling of wide-necked intracranial aneurysms using the Solitaire AB stent[J]. J Neurosci Rural Pract, 2014,5(3):254-257.
11	Isabelle M, Paolo M, Didier M, et al. Mechanical thrombectomy with the Solitaire device in acute basilar artery occlusion[J]. J Neurointerv Surg, 2014,6(3):200-204.
12	Cohen JE, Gomori JM, Leker RR, et al. Recanalization with stent-based mechanical thrombectomy in anterior circulation major ischemic stroke[J]. J Clin Neurosci, 2011,19(1):39-43.

[1]	Wanwei Zhang, Yunyun Qin, Qizhe Cai, Mingming Lin, Runyu Tian, Shan Jin, Xiuzhang Lyu. Value of myocardial early systolic lengthening in non-ST-segment elevation acute coronary syndrome for predicting severe coronary artery stenosis [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(10): 1016-1022.
[2]	Jingjing Zhang, Bowen Zhao, Mei Pan, Xiaohui Peng, Yankai Mao, Chenke Pan, Lingyan Zhu, Linlin Zhu, Qiuye Lan. Evaluation of fetal pulmonary development using McGoon index measured by fetal echocardiography [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(08): 860-865.
[3]	Kang Ying, Canying Yang, Fengzhen Liu, Lili Chen, Yanna Liu. Prognostic value of left ventricular myocardial strain in asymptomatic patients with severe aortic stenosis [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(06): 581-587.
[4]	Wei Zhang, Li Wang, Caixia An, Jianqin Wang. Application value of different radiation protection measures on reducing interventional radiation dose in children with congenital heart disease [J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2023, 19(04): 455-463.
[5]	Lina Zhu, Zizhen Yang, Di Zhang, Yong Zhang, Jinzhen Cai, Jianhong Wang. The application value of contrast-enhanced ultrasound in the diagnosis of hepatic artery complications after liver transplantation [J]. Chinese Journal of Transplantation(Electronic Edition), 2023, 17(04): 240-245.
[6]	Haining Tan, Lingjia Yu, Xuehu Xie, Ning Liu, Guoqiang Zhang, Xiang Li, Yong Yang, Bin Zhu. Hidden blood loss and risk factors of uniportal full-endoscopic decompression for lumbar spinal stenosis [J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2023, 16(04): 233-238.
[7]	Xiaoyu Fan, Sizheng Sun, Yimin E, Chunzhao Yu. Different surgical options for obstructive left colon cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 500-504.
[8]	Xiaoyan Zhang, Xiaofeng Hao, Like Xie. Advances on the ocular ischemic syndrome [J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2023, 13(03): 183-187.
[9]	Bin He, Jing Wang. Diagnostic value of blood flow parameters, serum uric acid and CysC by color Doppler ultrasound in carotid artery stenosis of transient ischemic attack [J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2023, 09(05): 289-294.
[10]	Songfeng Li, Xiyong Li, Xiaohui Bai, Yunlu Wang, Pengfei Han, Hongzhuo Li. Efficacy and safety of unilateral biportal endoscopy versus tubular microendoscopic for lumbar spinal stenosis: A systematic review and meta-analysis [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(03): 172-181.
[11]	Shikai Li, Jia Liang, Yanyan He, Yi Yu, Tianxiao Li, Jinlong Chang, Yingkun He. Research progress of carotid atherosclerotic stenosis rabbit model for interventional therapy [J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2023, 11(04): 357-362.
[12]	Xinxian Liu, Yaqi Wang, Bin Zhou, Yanyan Guo. The significance of rapamycin in early intervention of erosive esophageal stenosis in rabbits [J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2023, 11(04): 324-329.
[13]	Qinpeng Li, Qitao Wang, Yuanyuan Zhu, Qi Zhou, Xiaoyan Liu, Yong Xu. Application of carotid color Doppler ultrasound, neck CT angiography, and brain CT perfusion imaging in patients with cerebral infarction complicated by carotid stenosis [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(05): 482-488.
[14]	Yang Yang, Sheng Yan, Zuoguan Chen, Zhiyuan Wu, Yongpeng Diao, Qing Gao, Yuexin Chen, Yuehong Zheng, Yongjun Li. Comparison of patch carotid endarterectomy and eversion carotid endarterectomy: a retrospective study of long-term follow-up [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(04): 337-343.
[15]	Limeng Li, Yue Tao, Jianjun Liu, Xu Li, Xiaojun Wang, Tao Wang, Bin Chen, Longhua Fan. Association between inadequate platelet inhibition and adverse events after carotid artery stenting [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(03): 227-231.

Please choose a citation manager

Content to export