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Year : 2018  |  Volume : 16  |  Issue : 2  |  Page : 105-112

Angioplasty and drug-eluting stent for vertebral artery stenosis

1 Neurology Department, Alazher Universality, Cairo, Egypt
2 Neurology Department, Alazher Universality, Assiut city, Egypt

Correspondence Address:
Mahmoud M Hassan
Assiut, Asmaa allah square
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/AZMJ.AZMJ_27_18

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Objective To study the efficacy, safety, and feasibility of angioplasty and drug-eluting stents (DESs) in the treatment of vertebral artery stenosis. Patients and methods The study was carried out on 20 patients (17 patients with vertebral artery endovascular stenting and three patients with angioplasty alone). The success rate, perioperative complications, and long-term effectiveness were evaluated. Results A total of 17 DESs were implanted and three patients with angioplasty alone. The success rate was 100%. The degree of stenosis decreased from 78.25±10.17 to 11.50±7.45% (P<0.01). Complications were absent during the perioperative period. Follow-up was performed for 6 months. Two patients developed transient ischemic attack and one of them developed stroke and no cerebral ischemic events were noted in the remaining patients, suggesting a favorable outcome. Conclusion Angioplasty and DESs is a safe and effective strategy for the treatment of symptomatic vertebral artery stenosis.

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