Percutaneous Transluminal Angioplasty of Proximal Vertebral Artery Stenosis: Long-term Clinical Follow-up of 16 Consecutive Patients

Overview

Journal Neuroradiology

Specialties Neurology
Radiology

Date 2003 Dec 5

PMID 14655030

Citations 3

Authors

E Janssens

X Leclerc

C Gautier

O Godefroy

M Koussa

H Henon

C Lucas

D Leys

J P Pruvo

Affiliations

Soon will be listed here.

Abstract

We report long-term (average 30 months) clinical and radiological follow-up of 16 consecutive patients with uni- or bilateral proximal vertebral artery stenosis who underwent percutaneous transluminal angioplasty (PTA), without stenting, between 1995 and 1998. Assessment was performed by an independent neurologist. All patients but one remained asymptomatic during follow-up; moderate restenosis was observed in four. PTA of the proximal vertebral artery is safe but in the absence of knowledge of the natural history of atherosclerotic vertebral artery stenosis, whether it is beneficial or not remains unproven. The decision as to whether to perform this procedure is individual.

Citing Articles

Vertebral artery origin stent placement with distal protection: technical and clinical results.

Qureshi A, Kirmani J, Harris-Lane P, Divani A, Ahmed S, Ebrihimi A AJNR Am J Neuroradiol. 2006; 27(5):1140-5.

PMID: 16687560 PMC: 7975752.

Contrast-enhanced MR angiography of the carotid and vertebrobasilar circulations.

Yang C, Carr J, Futterer S, Morasch M, Yang B, Shors S AJNR Am J Neuroradiol. 2005; 26(8):2095-101.

PMID: 16155164 PMC: 8148843.

Percutaneous transluminal angioplasty and stenting for vertebral artery stenosis.

Coward L, Featherstone R, Brown M Cochrane Database Syst Rev. 2005; (2):CD000516.

PMID: 15846607 PMC: 7045393. DOI: 10.1002/14651858.CD000516.pub2.

References

Theron J, Courtheoux P, Henriet J, Pelouze G, Derlon J, Maiza D . Angioplasty of supraaortic arteries. J Neuroradiol. 1984; 11(3):187-200. View

Bruckmann H, Ringelstein E, Buchner H, Zeumer H . Percutaneous transluminal angioplasty of the vertebral artery. A therapeutic alternative to operative reconstruction of proximal vertebral artery stenoses. J Neurol. 1986; 233(6):336-9. DOI: 10.1007/BF00313919. View

Schwartz C, Mitchell J . Atheroma of the carotid and vertebral arterial systems. Br Med J. 1961; 2(5259):1057-63. PMC: 1970040. DOI: 10.1136/bmj.2.5259.1057. View

Kachel R . Percutaneous transluminal angioplasty (PTA) of supra-aortic arteries especially of the carotid and vertebral artery. An alternative to vascular surgery?. J Mal Vasc. 1993; 18(3):254-7. View

Caplan L . Occlusion of the vertebral or basilar artery. Follow up analysis of some patients with benign outcome. Stroke. 1979; 10(3):277-82. DOI: 10.1161/01.str.10.3.277. View

Bertrand M, Rupprecht H, Urban P, Gershlick A . Double-blind study of the safety of clopidogrel with and without a loading dose in combination with aspirin compared with ticlopidine in combination with aspirin after coronary stenting : the clopidogrel aspirin stent international cooperative study.... Circulation. 2000; 102(6):624-9. DOI: 10.1161/01.cir.102.6.624. View

Gautier C, Leclerc X, Janssens E, Dupart K, Leys D, Pruvo J . [Supra-aortic arteries angioplasty and stenting: an ultrasonographic follow up]. J Radiol. 2001; 81(12):1703-8. View

George B, Laurian C . Vertebro-basilar ischaemia. Its relation to stenosis and occlusion of the vertebral artery. Acta Neurochir (Wien). 1982; 62(3-4):287-95. DOI: 10.1007/BF01403636. View

Motarjeme A, Keifer J, ZUSKA A . Percutaneous transluminal angioplasty of the brachiocephalic arteries. AJR Am J Roentgenol. 1982; 138(3):457-62. DOI: 10.2214/ajr.138.3.457. View

10.

Higashida R, Tsai F, Halbach V, Dowd C, Smith T, Fraser K . Transluminal angioplasty for atherosclerotic disease of the vertebral and basilar arteries. J Neurosurg. 1993; 78(2):192-8. DOI: 10.3171/jns.1993.78.2.0192. View

11.

Crawley F, Clifton A, Brown M . Treatable lesions demonstrated on vertebral angiography for posterior circulation ischaemic events. Br J Radiol. 1999; 71(852):1266-70. DOI: 10.1259/bjr.71.852.10318999. View

12.

CASTAIGNE P, LHERMITTE F, GAUTIER J, ESCOUROLLE R, Derouesne C, Der Agopian P . Arterial occlusions in the vertebro-basilar system. A study of 44 patients with post-mortem data. Brain. 1973; 96(1):133-54. DOI: 10.1093/brain/96.1.133. View

13.

Motarjeme A . Percutaneous transluminal angioplasty of supra-aortic vessels. J Endovasc Surg. 1996; 3(2):171-81. DOI: 10.1177/152660289600300209. View