Stenting of symptomatic intracranial stenosis using balloon mounted coronary stents: a single center experience

Abstract

This study suggests that BMCS may benefit patients with symptomatic intracranial stenosis who experience stroke or transient ischemic attack in spite of best medical therapy.

Endovascular Treatment of Symptomatic Intracranial Vertebrobasilar Stenosis: A 10-Year Single Centre Experience Using Balloon-Expandable Coronary Artery Stents

“…Our decision to use BMCS for the treatment of SIVBS was supported by clinically based experiences of some reported case series 17,18 . Moreover, the use of BMCS Fig.…”

“…17,19 In another series of patients treated with BMCS for intracranial stenosis in both anterior circulation intracranial stenosis and SIVBS, Durst et al reported an overall peri-procedural morbidity of 7,1%, but registered higher complication rates in posterior circulation procedures than in anterior circulation. 18 Analyzing data from 3 studies about balloon-mounted stent implantation, 17,28,29 Durst et al reported an average periprocedural morbidity of 7.4% in 339 patients (range 5,6-22,7%). However, also in these series both anterior and posterior intracranial stenoses were pooled together.…”

Successful Treatment of Symptomatic Intracranial Carotid Artery Stenosis Using a 24-mm Long Bare Metal Coronary Stent

“…The first study by Durst et al utilized only balloon-mounted coronary stents, and had a relatively low incidence of periprocedural morbidity and mortality (7.1%) as well as long-term incidence of recurrent CVA (9.5%) (7). In contrast, Tarlov and colleagues demonstrated a much higher risk of intervention, both in increased morbidity and mortality in the periprocedural stage (22%) as well as long-term recurrent CVA (21.95%).…”

Long-term Outcomes of a Randomized Clinical Trial of Stenting vs Aggressive Medical Therapy for Intracranial Arterial Stenosis

“…Select series of patients with intracranial arterial stenosis experiencing repeated strokes after initiation of best medical therapy suggest that this may be a beneficial alternative. 8 This may also be a favorable therapeutic option in patients who cannot achieve the goals of best medical therapy, including blood pressure, low-density lipoprotein, and diabetes control, along with weight reduction and exercise. Further studies are indicated to determine the optimal management in patients with repeated strokes attributable to significant intracranial arterial stenosis in the setting of failed primary medical therapy.…”