Safety and efficacy of percutaneous transluminal angioplasty versus percutaneous transluminal angioplasty and stenting in patients with symptomatic intracranial atherosclerotic stenosis:An analysis of 93 cases
10.19845/j.cnki.zfysjjbzz.2024.0148
- VernacularTitle:93例单纯球囊扩张血管成形术与支架植入术在症状性颅内动脉粥样硬化性狭窄患者中的比较
- Author:
Longbing WANG
1
;
Zhi SONG
;
Shaotao ZHANG
Author Information
1. 西南医科大学附属医院神经内科,四川 泸州 646000
- Keywords:
Stroke;
Symptomatic intracranial atherosclerotic stenosis;
Endovascular treatment;
Percutane-ous transluminal angioplasty;
Percutaneous transluminal angioplasty and stenting
- From:
Journal of Apoplexy and Nervous Diseases
2024;41(9):771-775
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of percutaneous transluminal angioplasty(PTA)ver-sus percutaneous transluminal angioplasty and stenting(PTAS)in the treatment of symptomatic intracranial atherosclerotic stenosis(sICSA)with different clinical features.Methods A retrospective analysis was performed for 93 surgical cases in The Affiliated Hospital of Southwest Medical University from September 2018 to May 2022,and according to the vascu-lar morphology,age,and surgical procedure of the patients,they were divided into PTA group with 56 patients and PTAS group with 37 patients.The two groups were compared in terms of general information,surgical success rate,the inci-dence rate of serious complications within 30 days after surgery,modified Rankin Scale(mRS)score at 3 and 6 months af-ter surgery,and the rate of recurrent stroke of responsible vessels at 1 year after surgery.Results In patients with MORI type C of diseased vessels,there were more patients in the PTA group than in the PTAS group.There were no significant dif-ferences in the remaining baseline characteristics between the two groups.There were no significant differences between the PTA group and the PTAS group in terms of the success rate of surgery(98.2%vs 100%),the incidence of serious com-plications within 30 days after surgery(3.6%vs 2.7%),the good prognosis rate at 3 months after surgery(92.7%vs 94.1%),the good prognosis rate at 6 months after surgery(94.5%vs 94.1%),and the rate of re-stroke within 1 year after surgery(3.6%vs 2.9%).Conclusion In the MORI classification C of diseased vessels,the safety of PTA was significantly higher than that of PTAS.There were no significant differences in the success rate of surgery,the incidence of serious periopera-tive complications,the postoperative effect and the rate of symptomatic restenosis at 1 year after surgery between the two groups.
