Cited 41 times in
Percutaneous Interventional Treatment of Extracranial Vertebral Artery Stenosis with Coronary Stents
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 고영국 | - |
dc.contributor.author | 심원흠 | - |
dc.contributor.author | 정보영 | - |
dc.contributor.author | 최동훈 | - |
dc.contributor.author | 민필기 | - |
dc.date.accessioned | 2015-07-14T17:27:35Z | - |
dc.date.available | 2015-07-14T17:27:35Z | - |
dc.date.issued | 2004 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/112925 | - |
dc.description.abstract | Stenosis of extracranial vertebral artery (VA) is not an infrequent lesion, and it can pose a significant clinical problem. However, the standard treatment for a significant VA stenosis has still not been established. Here in this study, we report our experiences of VA stenting in 25 patients (age 56.2 ± 15.2 years, male 76%). The patients had comorbidities as follows: DM (36%), hypertension (64%), Takayasu's (12%) and Behcet's diseases (4%). There were combined involvement of other vessels such as the coronary artery (72%), carotid artery (36%), subclavian artery (32%) and the contralateral vertebral artery (24%). Indications for stenting were prior stroke or symptoms related to vertebrobasilar ischemia in 11 patients, and an asymptomatic but angiographically significant stenosis (> 70% stenosis) in 14 patients. Twenty-three balloon-expandable stents and two self-expandable stents were deployed. A drug-eluting coronary stent and distal balloon protection device were each used in one case. A technically successful procedure was achieved in all patients. The baseline reference diameter was 4.7 ± 1.3 mm, minimal luminal diameter (MLD) 1.0 ± 0.6 mm (diameter stenosis 77.8 ± 12.5%) and lesion length 6.4 ± 3.9 mm. After stenting and adjuvant dilation, the MLD was increased to 4.5 ± 0.9 mm (diameter stenosis 3.1 ± 17.9%). There were no procedure-related complications. During the further follow-up period of 25 (3-49) months, no stroke or death occurred. Restenosis was observed in 4 (30.8%) of 13 eligible patients. In conclusion, VA stenting is feasible with a high degree of technical success, and this treatment is associated with a relatively low incidence of procedure-related complications. However, a relative high rate of in-stent restenosis remains as a problem to be resolved. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Angiography | - |
dc.subject.MESH | Angioplasty, Balloon* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Stents* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Vertebrobasilar Insufficiency/diagnosis | - |
dc.subject.MESH | Vertebrobasilar Insufficiency/therapy* | - |
dc.title | Percutaneous Interventional Treatment of Extracranial Vertebral Artery Stenosis with Coronary Stents | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Young Guk Ko | - |
dc.contributor.googleauthor | Sungha Park | - |
dc.contributor.googleauthor | Won Heum Shim | - |
dc.contributor.googleauthor | Yangsoo Jang | - |
dc.contributor.googleauthor | Donghoon Choi | - |
dc.contributor.googleauthor | Boyoung Joung | - |
dc.contributor.googleauthor | Jae Hun Jung | - |
dc.contributor.googleauthor | Eui Young Choi | - |
dc.contributor.googleauthor | Pil Ki Min | - |
dc.contributor.googleauthor | Jong Youn Kim | - |
dc.identifier.doi | 10.3349/ymj.2004.45.4.629 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00127 | - |
dc.contributor.localId | A02202 | - |
dc.contributor.localId | A03609 | - |
dc.contributor.localId | A04053 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 15344203 | - |
dc.subject.keyword | vertebral artery | - |
dc.subject.keyword | vertebrobasilar artery insuffici-ency | - |
dc.subject.keyword | oercytaneous transluminal angioplasy | - |
dc.subject.keyword | stenting | - |
dc.contributor.alternativeName | Ko, Young Guk | - |
dc.contributor.alternativeName | Shim, Won Heum | - |
dc.contributor.alternativeName | Joung, Bo Young | - |
dc.contributor.alternativeName | Choi, Dong Hoon | - |
dc.contributor.affiliatedAuthor | Ko, Young Guk | - |
dc.contributor.affiliatedAuthor | Shim, Won Heum | - |
dc.contributor.affiliatedAuthor | Joung, Bo Young | - |
dc.contributor.affiliatedAuthor | Choi, Dong Hoon | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 45 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 629 | - |
dc.citation.endPage | 634 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.45(4) : 629-634, 2004 | - |
dc.identifier.rimsid | 36800 | - |
dc.type.rims | ART | - |
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