Artery Research

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Volume 12, Issue C, December 2015, Pages 24 - 24

P5.18 TRANSRADIAL APPROACH FOR VERTEBRAL ARTERY STENTING: SINGLE-CENTER EXPERIENCE

Authors
Damian Maciejewski*1, Lukasz Tekieli1, Anna Kablak-Ziembicka1, Karolina Dzierwa1, Piotr Paluszek2, Andrzej Brzychczy2, Grzegorz Lewinski2, Magdalena Wojcik-Pedziwiatr3, Roman Machnik2, Piotr Pieniazek1
1Department of Interventional Cardiology, Institute of Cardiology, Collegium Medicum, Jagiellonian University, John Paul II Hospital, Krakow, Poland
2Department of Vascular Surgery and Endovascular Interventions, John Paul II Hospital, Krakow, Poland
3Department of Neurology, John Paul II Hospital, Krakow, Poland
Available Online 23 November 2015.
DOI
10.1016/j.artres.2015.10.281How to use a DOI?
Abstract

Objectives: Transradial vertebral artery (VA) angioplasty might be a viable alternative to the transfemoral approach in cases of peripheral artery disease or anatomical variations of the aortic arch. The purpose of our study was to evaluate the safety and efficacy of transradial stenting of symptomatic VA stenosis.

Material and methods: Seventeen patients [67±8,4 years, 76% men, with >80% stenosis, 13 right-side, all symptomatic from posterior circulation (history of stroke, TIA or chronic ischemic symptoms)] with peripheral artery disease (PAD) or unsuccessful attempt via femoral access were scheduled for VA angioplasty by radial approach. Clinical and duplex ultrasound (DUS) follow-up were performed before discharge and 6, 12 and 24 months after VA stenting.

Results: The technical success rate was 100%. In all cases VA angioplasty was performed with the use of single balloon-mounted stent (11 bare metal stents, 6 drug eluting stents). The mean NASCET VA stenosis was reduced from 87,5% to 5,9% (p<0.001). No periprocedural death, stroke, myocardial infarction or transient ischemic attack occurred. During 24-months follow-up in 14 of 17 patients chronic ischemia symptoms release was observed, no new acute ischemic neurological symptoms were diagnosed in all patients. One patient died 20 months after intervention from unknown cause. There was one, symptomatic border-line VA in-stent stenosis 12 months after angioplasty.

Conclusion: Transradial VA stenting may be effective and safe procedure and it may constitute an alternative to femoral approach in patients with symptomatic vertebral artery stenosis.

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<Previous Article In Issue
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Journal
Artery Research
Volume-Issue
12 - C
Pages
24 - 24
Publication Date
2015/11/23
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.1016/j.artres.2015.10.281How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

risenwbib
TY  - JOUR
AU  - Damian Maciejewski*
AU  - Lukasz Tekieli
AU  - Anna Kablak-Ziembicka
AU  - Karolina Dzierwa
AU  - Piotr Paluszek
AU  - Andrzej Brzychczy
AU  - Grzegorz Lewinski
AU  - Magdalena Wojcik-Pedziwiatr
AU  - Roman Machnik
AU  - Piotr Pieniazek
PY  - 2015
DA  - 2015/11/23
TI  - P5.18 TRANSRADIAL APPROACH FOR VERTEBRAL ARTERY STENTING: SINGLE-CENTER EXPERIENCE
JO  - Artery Research
SP  - 24
EP  - 24
VL  - 12
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2015.10.281
DO  - 10.1016/j.artres.2015.10.281
ID  - Maciejewski*2015
ER  -