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Japanese Registry of Neuroendovascular Therapy: extracranial steno-occlusive
diseases except for internal carotid artery stenosis
#MMPMID24257542
Kikuchi T
; Ishii A
; Nakahara I
; Miyamoto S
; Sakai N
Neurol Med Chir (Tokyo)
2014[]; 54
(1
): 40-5
PMID24257542
show ga
Although utilization of endovascular treatment of extracranial steno-occlusive
lesions except for internal carotid artery stenosis continues to increase, there
is no consensus regarding the natural course and standard treatment of these
lesions. The aim of this study was to characterize the utility of endovascular
treatment for extracranial steno-occlusive lesions except for internal carotid
artery stenosis. A total of 1249 procedures for extracranial steno-occlusive
lesions were identified from the Japanese Registry of Neuroendovascular Therapy
(JR-NET) and JR-NET2. Excluding the cases of carotid lesions (290 cases),
endovascular procedures were performed for 471 (37.7%) subclavian artery
stenoses, 404 (32.3%) extracranial vertebral artery stenoses, and 38 (3.0%)
innominate artery stenoses with a technical success rate of 97.2%. A stent was
placed for 783 lesions and percutaneous transluminal angioplasty was performed
for 183 lesions. Forty complications were reported in this cohort. Among these,
ischemic complications were the most frequent (12 cases). Comparison between
JR-NET1 and JR-NET2 demonstrated a marked increase in the number of procedures, a
change in the utilization of antiplatelet therapy, and an increased rate of
favorable outcome. We conclude that the endovascular treatment for extracranial
steno-occlusive lesions is relatively safe. Continuous efforts should be made to
reduce the complication rate, and further trials are needed to validate the
beneficial effect of this procedure.
|Angioplasty, Balloon/adverse effects/statistics & numerical data
[MESH]
|Angioplasty/adverse effects/statistics & numerical data
[MESH]
free
free
free
