Age (sex) / clinical history | Vessel affected (% of stenosis based on DSA) | Endovascular treatment (anesthesia) | Type of stent (length/mm) | Outcome/complication (follow up) |
---|---|---|---|---|
1. 67 (F) / Slurred speech and right arm weakness. | Left M1-MCA (80%) | Angioplasty and stenting, GA | Taxus (2x10 mm) | Excellent (16 months) No new infarction or stent stenosis. |
2. 61 (M) / Lower limbs paresis with facial weakness. | Mid-Basilar artery (85%) | Angioplasty and stenting, GA | Taxus (3x12 mm) | Died (6 months) from post-procedural pontine infarction. |
3. 56 (M) / Right side hemiparesis. | Mid-basilar artery (80%) | Angioplasty and stenting, GA | Cardio stent (3.5x18 mm) | Excellent (4 years) No new infarction or stent stenosis. |
4. 76 (M) / Right hemiplegia and recurrent TIA’s | Mid-basilar artery (60%) | Angioplasty and stenting, GA | Endeavor cardiac stent (2.5x8 mm) | Excellent (16 months) No new infarction or stent stenosis. |
5. 65 (M) / Previous stroke of VBA origin | Mid-basilar artery (60%) | Angioplasty and stenting, GA | Failed (tortuous VA and severe spasm) | NA |
6. 45 (M) / Recurrent right hemiparesis | Mid-basilar artery (60%) Right petro-cavernous-ICA (80%) | Angioplasty and stenting, GA | Wing span stents: 3.5x15 mm (for mid-basilar) 4 x 15 mm (for ICA) | Died (one month) Post-procedural acute right Pons infarction |
7. 56 (M) / Recurrent left side TIA’s | Left supraclinoid ICA (75%). | Angioplasty and stenting, LA | Cypher Select Drug Eluting stent (2.5x13 mm) | Excellent (3 years) No new infarction or stent stenosis. |
8. 79 (F) / Recurrent attacks of dizziness diplopia and ptosis | Right vertebral basilar junction (60%) | Angioplasty and Stenting, GA | Taxux Liberte (2.75x16 mm) | Excellent (4 years) No new infarction or stent stenosis. |
9. 54 (M) / Recurrent attacks of incoordination and unsteady gait | Left proximal IC vertebral artery (80%) | Angioplasty and stenting, LA | Taxus (2.5x16 mm) | Good (3 years) No restenosis. Left MCA infarction due to severe right ICA stenosis (90%). No intervention due to renal failure. |
10. 39 (M) / left sided weakness | Right cavernous-ICA (80%) | Angioplasty and stenting, LA | Precise Nitinol stent Taxus stent (2.5x10 mm) | Good (2 years) No new infarction or stent stenosis. |
11. 63 (M) / Recurrent dysarthria and unsteady gait | Right Vertebrobasilar junction artery (80%) | Angioplasty and stenting, LA | Taxus (2.5x16 mm) | Excellent (2 years) No new infarction or stent stenosis. |
12. 55 (F) / Recurrent TIAs | Left Vertebrobasilar junction artery (80%) | Angioplasty and stenting, LA | Taxus (3 x 20 mm) | Poor (12 months) Post-procedural right sided hemiplegia Lt pontine infarction, patent stent. |
13. 47 (M) / Recurrent right side hemiparesis | Proximal vertebral artery (80%) | Angioplasty and stenting, GA | Driver RX cardiac stent 3.5x24 mm | Excellent (2 years) No new infarction or stent stenosis. |
14. 42 (F) / Right upper limb weakness. | left ophthalmic-ICA (85%) | Angioplasty and stenting, GA | Taxus (3x20 mm) | Excellent (18 months) No new infarction or stent stenosis. |
15. 70 (M) / Recurrent left side weakness | Right cavernous-ICA and proximal basilar artery stenosis (70% each) | Angioplasty and stenting, GA For right ICA | Driver RX cardio stent (3.5x18 mm) | Excellent (2 years) No new infarction or stent stenosis. |
16. 67 (M) / Recurrent TIA’s | Right Vertebrobasilar junction artery (> 90%) | Angioplasty and stenting, GA | Taxus (3.5x12 mm) | Excellent (16 months) No new infarction or stent stenosis. |
17. 55 (F) / Right hemiparesis (on warfarin) | Left M1- MCA (>80%) | Angioplasty and stenting, LA | Failed, (MCA spasm) | Poor (1 year) Developed stroke on the same site. |
18. 43 (M) / Sudden LOC for 8 hrs | Basilar artery (>90%) | Angioplasty (+tPA) and stenting GA | Solitaire (2.5x16 mm) | Poor (3 months) Died due to massive SAH. |
19. 68 (M) / Decrease LOC, walking difficulty. | Right Vertebrobasilar junction (80%) | Angioplasty and stenting, GA | Failed due to vascular tortuosity and spasm | NA |
20. 54 (M) / Left hemiparesis | Right Supraclinoid ICA (80 %) | Angioplasty and stenting, LA | FERROUS (3x20 mm) | Excellent (2 years) No new infarction or stent stenosis. |
21. 65 (M) / Recurrent dysarthria and mild quadriparesis | Distal basilar artery (90%) | Angioplasty and stenting, GA | Abbott Xience Prime drug eluting (2.5x16 mm) | Excellent (14 months) No new infarction or stent stenosis. |
22. 69 (M) / Recurrent TIA’s | Proximal basilar artery (90%) | Angioplasty and stenting, GA | Taxus Liberte (3x20 mm) | Excellent (1 year) No new infarction or stent stenosis. |
F - Female, M - male, TIA - Transient Ischemic Attacks, MCA - middle cerebral artery, ICA - Internal Carotid Artery, GA - general anesthesia, LA - local anesthesia, NA - Not applicable, LOC - level of consciousness, tPA - tissue plasminogen activator