The efficacy of balloon dilation angioplasty and stent implantation in treating patients with acute anterior tandem occlusion caused by internal carotid artery atherosclerosis
10.3969/j.issn.1008-794X.2024.06.002
- VernacularTitle:急性前循环动脉粥样硬化性串联闭塞患者球囊扩张与支架置入的效果
- Author:
Wei LI
1
;
Xiaoli FENG
;
Kangmeng WANG
;
Kailai HUANG
;
Gang SUN
;
Rong CHEN
;
Zhenqiang ZHAO
;
Haitao GUAN
Author Information
1. 570105 海南海口 海南医学院第一附属医院神经内科
- Keywords:
acute anterior tandem occlusion;
atherosclerosis;
balloon dilation angioplasty;
stent implantation;
endovascular therapy
- From:
Journal of Interventional Radiology
2024;33(6):593-598
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the safety and efficacy of emergency balloon dilation angioplasty with emergency stent implantation in treating patients with acute anterior tandem occlusion caused by atherosclerosis at the starting segment of the internal carotid artery.Methods A total of 91 patients with stroke caused by acute anterior tandem occlusion,who were admitted to the First Affiliated Hospital of Hainan Medical College and the Third Affiliated Hospital of Guangzhou Medical University of China within 24 hours after disease onset to receive treatment from January 2018 to October 2022,were enrolled in this study.The patients were divided into balloon dilation angioplasty group(balloon dilation group,n=51)and stent implantation group(stenting group,n=40).The basic clinical data were compared between the two groups.The modified thrombolysis in cerebral infarction(mTICI)grade 2b-3 was defined as a good recanalization.The postoperative 90-day modified Rankin scale(mRS)score of 0-2 points was defined as a good clinical prognosis.Results The good recanalization rate and postoperative 90-day good clinical prognosis rate in the stenting group were 70％and 60％respectively,which were higher than 60％and 52％respectively in the balloon dilation group,and the differences between the two groups were not statistically significant(P=0.361 and P=0.391 respectively).The incidences of symptomatic intracranial hemorrhage(sICH),asymptomatic intracranial hemorrhage(aSICH),and mortality in the stenting group were 10％,32.5％,and 22.5％respectively,which in the balloon dilation group were 11.8％,41.2％,and 17.7％respectively,and the differences between the two groups were not statistically significant(P=1.000,P=0.396,and P=0.564 respectively).Conclusion For the treatment of patients with acute anterior tandem occlusion caused by atherosclerosis at the starting segment of the internal carotid artery,both emergency balloon dilation angioplasty or stent implantation are clinically safe and effective.(J Intervent Radiol,2024,33:593-598)
