ArticleJournal of neurology, neurosurgery, and psychiatry1996
Transluminal angioplasty for arteriosclerotic disease of the distal vertebral and basilar arteries.
Article in Journal of neurology, neurosurgery, and psychiatry, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 123 citations in OpenAlex.
- Angioplasty for intracranial artery stenosis.The Cochrane database of systematic reviews · 2006Pooled it
- Intracranial angioplasty & stenting for cerebral atherosclerosis: a position statement of the American Society of Interventional and Therapeutic Neuroradiology, Society of Interventional Radiology, and the American Society of Neuroradiology.AJNR. American journal of neuroradiology · 2005Guideline
- Endovascular revascularization for basilar artery occlusion.Interventional neurology · 2015Review
- Trends in intracranial stenting among medicare beneficiaries in the United States, 2006-2010.Journal of the American Heart Association · 2013Article
- Clinical outcome of patients with acute posterior circulation stroke and bilateral vertebral artery occlusion.Journal of vascular and interventional neurology · 2011Article
- Endovascular treatment of symptomatic intracranial atherosclerotic disease.Frontiers in neurology · 2011Article
- Transluminal angioplasty and stenting for intracranial vertebrobasilar occlusive lesions in acute stroke patients.AJNR. American journal of neuroradiology · 2008Article
- Management of symptomatic intracranial atherosclerotic disease.Current cardiology reports · 2007Review
- Management of symptomatic intracranial arterial stenosis: endovascular therapy.Current atherosclerosis reports · 2006Review
- Intracranial angioplasty and stenting for cerebral atherosclerosis: new treatments for stroke are needed!Neuroradiology · 2006Review
- Stent-assisted angioplasty of intracranial vertebrobasilar atherosclerosis: midterm analysis of clinical and radiologic predictors of neurological morbidity and mortality.AJNR. American journal of neuroradiology · 2005Article
- Standard Technique of PTA/stenting for Atherosclerotic Intracranial Arterial Stenosis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2004Article
- Vertebral and intracranial artery angioplasty.Ochsner journal · 2003Article
- Angioplasty and stent placement in intracranial atherosclerotic stenoses and dissections.AJNR. American journal of neuroradiology · 2002Article
- Endovascular treatment for intracranial atherosclerotic stenosis. Pitfalls and problems.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2001Article
- Cerebrovascular angioplasty and stenting for the prevention of stroke.Current neurology and neuroscience reports · 2001Review
- Primary stenting for high-grade basilar artery stenosis.AJNR. American journal of neuroradiology · 2000Article
- Stenting for abrupt closure of the intracranial vertebral artery complicating balloon angioplasty. A case report.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2000Article
- Intracranial vertebrobasilar stenosis: angioplasty and follow-up.AJNR. American journal of neuroradiology · 2000Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePercutaneous transluminal angioplasty (PTA) for the distal vertebral and basilar artery is now being performed in selected patients with haemodynamically significant lesions of the posterior cerebral circulation. Its effect and overall results were examined. PATIENTS AND
methodsA balloon dilatation catheter specifically developed for these procedures, with a 2.0-3.5 mm balloon diameter, at 6 atmospheres of pressure, was used. Angioplasty was performed in 12 patients (including six whose initial results have been reported) with angiographically documented stenotic lesions involving either the intracranial vertebral artery (C1-C2 portion) or the basilar artery, and satisfying the following criteria: (1) clinical symptoms suggestive or consistent with a transient ischaemic attack refractory to medical treatment, or small infarction of the posterior circulation; and (2) angiographically documented stenosis greater than 70%. Two of 12 patients had complete thrombosis of the distal vertebral and basilar artery and PTA was performed after successful intra-arterial thrombolysis.
resultsSuccessful results, without complications, were obtained in eight patients, with complete resolution of vertebrobasilar ischaemic symptoms. Immediate complications occurred in four patients including two with vessel dissection, and two with thromboembolism. The two patients with acute arterial dissection were reoperated but developed small infarctions with permanent neurological deficits. The two patients with thromboembolic complication showed transient neurological deficit. The overall stenosis ratio decreased from a mean of 84% pretreatment to 44% after the angioplasty procedure. Restenosis occurred in two patients. Long term clinical follow up in 11 patients who survived more than six months showed resolution of ischaemic symptoms after PTA in all except for one with a restenosis who had recurrent transient ischaemic attacks.
conclusionTransluminal angioplasty may be an effective procedure to treat vertebrobasilar ischaemia secondary to high grade arteriosclerotic disease affecting either the distal vertebral or basilar artery regions that do not respond to medical treatment.
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Registered trials
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