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Treatment of In-stent Restenosis of the Internal Carotid Artery Using Drug-eluting Balloons
ConclusionThe use of DEB angioplasty is a  safe and effective treatment of ICA ISR lesions, yielding significantly better results compared to other modalities. Randomized multicenter studies are warranted.
Source: Clinical Neuroradiology - September 7, 2023 Category: Neurology Source Type: research

Ticagrelor versus clopidogrel after intracranial stent angioplasty: a real-world study
ConclusionIn our study involving patients with acute ischemic stroke who had undergone intracranial stenting, aspirin-ticagrelor was not found to be superior to aspirin-clopidogrel in reducing the rate of ischemic vascular events. The risk of bleeding did not differ between the two groups. Aspirin-ticagrelor does not lower total restenosis and symptomatic restenosis risk at follow-up.
Source: Frontiers in Neurology - August 11, 2023 Category: Neurology Source Type: research

Stent reconstruction in intracranial atherosclerotic disease related acute ischemic stroke results in high revascularization rates
Intracranial atherosclerotic disease (ICAD) is a major cause of large vessel occlusion (LVO) in acute ischemic stroke (AIS). Our study aimed to analyze the effect of percutaneous transluminal angioplasty and stenting (PTAS) in patients with ICAD undergoing rescue treatment in terms of functional outcome and mortality rate at 90 days and compare the results to LVO with thromboembolic origins.
Source: Journal of Stroke and Cerebrovascular Diseases - July 14, 2023 Category: Neurology Authors: Mara Z. Thut, Nadine Rhiner, Patrick Thurner, Jawid Madjidyar, Tilman Schubert, Susanne Wegener, Christoph Globas, Andreas R. Luft, Zsolt Kulcsar Source Type: research

Safety and efficacy of endovascular recanalization for symptomatic non-acute atherosclerotic intracranial large artery occlusion
ConclusionThis study suggests that interventional recanalization may be a feasible, basically safe, and an effective alternative in carefully selected patients with symptomatic non-acute atherosclerotic ILAO who have failed medical management.
Source: Frontiers in Neurology - April 27, 2023 Category: Neurology Source Type: research

Determinants and clinical outcomes of stroke following revascularization among patients with reduced ejection fraction
ConclusionsFurther research appears warranted to minimize the complication of stroke and improve long-term outcomes among patients with reduced EF who underwent such high risk revascularization procedural.
Source: Brain and Behavior - March 2, 2023 Category: Neurology Authors: Shaoping Wang, Yuhua Ran, Shujuan Cheng, Yi Lyu, Jinghua Liu Tags: ORIGINAL ARTICLE Source Type: research

Selection of patients with acute vertebrobasilar artery occlusion for endovascular treatment by magnetic resonance imaging
ConclusionDWI plus MRA could help select the patients with acute VBAO for EVT by assessing ASPECTS and the pons–midbrain index. Patients could achieve good reperfusion and favorable functional outcomes.
Source: Frontiers in Neurology - February 20, 2023 Category: Neurology Source Type: research

Rescue stenting after the failure of mechanical thrombectomy to treat acute intracranial atherosclerotic occlusion
ConclusionsRescue stenting after MT failure might be a feasible rescue modality for treating acute intracranial atherosclerotic occlusion.
Source: Frontiers in Neurology - January 10, 2023 Category: Neurology Source Type: research

A retrospective study of individualized endovascular treatment for symptomatic intracranial atherosclerotic stenosis in patients with ischemic stroke/transient ischemic attack
This study will provide an important reference for the endovascular treatment of sICAD.
Source: Frontiers in Neurology - November 30, 2022 Category: Neurology Source Type: research

De novo headache in ischemic stroke patients treated with thrombectomy: a prospective study
ConclusionsAlmost one-third of patients with ischemic stroke who undergo endovascular thrombectomy experience headache in the first 24  hours, occurring more frequently in patients who had a previous history of headaches regardless of the procedure complexity.
Source: The Journal of Headache and Pain - July 21, 2022 Category: Neurology Source Type: research

Balloon Angioplasty vs. Stenting for Symptomatic Intracranial Arterial Stenosis
ConclusionThis study found that the treatment effectiveness of balloon angioplasty and stenting were similar for patients with symptomatic intracranial arterial stenosis.
Source: Frontiers in Neurology - June 14, 2022 Category: Neurology Source Type: research

A Novel Endovascular Therapy Strategy for Acute Ischemic Stroke Due to Intracranial Atherosclerosis-Related Large Vessel Occlusion: Stent-Pass-Aspiration-resCuE-Micowire-Angioplasty (SPACEMAN) Technique
ConclusionsThis study suggests that SPACEMAN exhibits a shorter operation revascularization time than the standard thrombectomy. Complications and prognosis were comparable between the two groups. The safety and efficacy of this novel technique need to be studied in larger patient series.
Source: Frontiers in Neurology - February 14, 2022 Category: Neurology Source Type: research

Endovascular Therapy for Symptomatic Intracranial Artery Stenosis: a Systematic Review and Network Meta-analysis
AbstractIntracranial artery atherosclerotic stenosis (ICAS) is one of the most common causes of stroke. Endovascular therapy including balloon angioplasty alone (BA), balloon-mounted stent (BMS), or self-expanding stent (SES) was an important alternative to treat symptomatic ICAS refractory to medical treatment, while none of the three subtypes has been established to be the primary option. We conducted a systematic review and network meta-analysis to determine both the safety and efficacy and establish a hierarchy of different endovascular therapies on symptomatic ICAS. Major databases including MEDLINE, EMBASE, and the C...
Source: Translational Stroke Research - February 12, 2022 Category: Neurology Source Type: research

Clinical Outcomes of Endovascular Treatment for Carotid Artery Dissection Without Intracranial Large Vessel Occlusion in Patients With Cerebral Ischemia Presentation
ConclusionsAlthough attention to the hemorrhagic complication is required, EVT for selective patients with cerebral ischemia associated with CAD may be safe and acceptable treatment strategy for reconstruction of luminal patency, with good clinical outcomes. Prospective large-scale randomized studies are required to optimize EVT for CAD patients.
Source: Frontiers in Neurology - February 2, 2022 Category: Neurology Source Type: research

Rescue strategies in anterior circulation stroke with failed mechanical thrombectomy & #8212;A retrospective observational study (RAFT)
Conclusions: Rescue stenting and/or angioplasty after failed MT is a safe and effective recanalization method for AIS in anterior circulation without increasing mortality or morbidity.
Source: Annals of Indian Academy of Neurology - December 17, 2021 Category: Neurology Authors: Amit Ashok Bhatti Niranjan P Mahajan Devashish Dhiren Vyas Mudasir Mushtaq Shah Vikram Huded Source Type: research

Medical and Endovascular Treatments for Intracranial Atherosclerotic Stenosis: A Network Meta-Analysis
AbstractMedical treatment and endovascular therapy are widely used for intracranial atherosclerotic stenosis, but the best treatment strategy remains uncertain. The goal of this study was to compare the safety and effectiveness of medical treatment, stenting, and primary balloon angioplasty (PBA). We searched PubMed, MEDLINE, and EMBASE for trials comparing these three treatments for intracranial stenosis up to December 24, 2020. We performed a network meta-analysis with random-effects models. The primary outcome was any stroke or death during a long-term follow-up. Secondary outcomes included ischemic stroke, intracranial...
Source: Translational Stroke Research - November 18, 2021 Category: Neurology Source Type: research

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