Status quo and challenges of endovascular treatment in vertebral artery stenosis
10.3760/cma.j.cn115354-20240731-00438
- VernacularTitle:椎动脉狭窄血管内治疗的现状和挑战
- Author:
Dawei CHEN
1
;
Jin SHI
Author Information
1. 中国人民解放军空军特色医学中心神经内科，北京 100142
- Keywords:
Vertebral artery stenosis;
Endovascular treatment;
Stroke;
Vascular restenosis
- From:
Chinese Journal of Neuromedicine
2024;23(11):1081-1085
- CountryChina
- Language:Chinese
-
Abstract:
With developing medical imaging, increased detection rate of vertebral artery stenosis is noted. Stroke recurrence rate is still high even after strict medical treatment for symptomatic vertebral artery stenosis. At present, endovascular treatment is more and more widely used in symptomatic vertebral artery stenosis (accompanying high postoperative restenosis rate), but high-level evidence-based medical evidence for its efficacy is needed. Therefore, this article focuses on the effectiveness of endovascular treatment, perioperative risk, long-term postoperative restenosis, prevention and treatment strategies of restenosis, and screening of patients with high risk of stroke recurrence, in order to further improve the clinical benefits of these patients.
