机构：[1]Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, China首都医科大学附属天坛医院[2]Department of Neurology, Tong Ren Hospital Shanghai Jiaotong University School of Medicine, China
Background and Purpose: Endovascular recanalization for patients with nonacute intracranial vertebral artery occlusion remains clinically challenging. We aim to evaluate the feasibility and safety of endovascular recanalization for nonacute intracranial vertebral artery occlusion and propose a new angiographic classification. Methods: Fifty patients with symptomatic atherosclerotic nonacute intracranial vertebral artery occlusion from January 2015 to December 2019 were analyzed, retrospectively. The rate of recanalization, peri-procedural complications, and follow-up results were evaluated. All patients were divided into 4 groups according to an angiographic classification. Results: Among the 50 patients, 38 (76%) achieved successful recanalization. Any stroke or death within 30 days was 4% (2/50). From type I to type IV, the recanalization rate gradually decreased (94.1%, 76.9%, 70%, and 50%, respectively, P=0.012), while the perioperative complication rate gradually increased (0.0%, 7.7%, 20%, and 50%, respectively, P=0.001). Conclusions: Endovascular recanalization may be feasible and safe for carefully selected patients with symptomatic atherosclerotic nonacute intracranial vertebral artery occlusion and, therefore, represents an alternative treatment, especially for type I and type II patients.
基金：
National Key R&D Program (2018AAA0102600),
Beijing Municipal Science & Technology Commission (No. Z18110000171837).
第一作者机构：[1]Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, China[*1]Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, No.119, South 4th Ring W Rd, Fengtai District, Beijing, China 100070
共同第一作者：
通讯作者：
通讯机构：[1]Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, China[*1]Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, No.119, South 4th Ring W Rd, Fengtai District, Beijing, China 100070
推荐引用方式(GB/T 7714)：
Gao Feng,Sun Xuan,Zhang Huijun,et al.Endovascular Recanalization for Nonacute Intracranial Vertebral Artery Occlusion According to a New Classification[J].STROKE.2020,51(11):3340-3343.doi:10.1161/STROKEAHA.120.030440.
APA：
Gao, Feng,Sun, Xuan,Zhang, Huijun,Ma, Ning,Mo, Dapeng&Miao, Zhongrong.(2020).Endovascular Recanalization for Nonacute Intracranial Vertebral Artery Occlusion According to a New Classification.STROKE,51,(11)
MLA：
Gao, Feng,et al."Endovascular Recanalization for Nonacute Intracranial Vertebral Artery Occlusion According to a New Classification".STROKE 51..11(2020):3340-3343
医学