Stent placement for arterial and venous cerebrovascular disease: Preliminary experience

Michael P. Marks, Michael D. Dake, Gary K. Steinberg, Alexander M. Norbash, Barton Lane

Research output: Contribution to journalArticle

190 Citations (Scopus)

Abstract

PURPOSE: To report initial clinical experience with stent placement in the cerebrovascular circulation. MATERIALS AND METHODS: Four patients underwent arterial or venous stent placement. Two patients had cervical internal carotid artery dissections, with aneurysms and stenoses of the distal cervical carotid artery. Two patients had venous occlusive disease involving the major dural sinuses, with substantial pressure gradients across the stenoses. RESULTS: Immediately after stent placement, the true arterial lumina returned to normal diameter and both carotid aneurysms were more than 90% occluded. Follow-up angiography demonstrated continued improvement in the arterial aneurysms. Both patients with dural sinus venous occlusive disease showed substantial improvement of the sinus stenoses and substantial reversal of the pressure gradients after venous stent placement. At follow-up, these patients have done well. CONCLUSION: This preliminary experience suggests there may be a role for stents in the management of arterial and venous cerebrovascular disease, including carotid artery dissection and venous occlusive disease.

Original languageEnglish (US)
Pages (from-to)441-446
Number of pages6
JournalRadiology
Volume191
Issue number2
DOIs
StatePublished - May 1994
Externally publishedYes

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Cranial Sinuses
Cerebrovascular Disorders
Dissecting Aneurysm
Cerebral Angiography
Balloon Angioplasty
Carotid Stenosis
Intracranial Aneurysm
Internal Carotid Artery
Stents
Pathologic Constriction
Aneurysm
Carotid Arteries
Cerebrovascular Circulation
Internal Carotid Artery Dissection
Pressure
Dissection
Angiography

Keywords

  • Aneurysm, carotid
  • Arteries, stenosis or obstruction
  • Carotid arteries, dissection
  • Interventional procedures, experimental
  • Sinuses, dural
  • Stents and prostheses
  • Veins, stenosis or obstruction

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Stent placement for arterial and venous cerebrovascular disease : Preliminary experience. / Marks, Michael P.; Dake, Michael D.; Steinberg, Gary K.; Norbash, Alexander M.; Lane, Barton.

In: Radiology, Vol. 191, No. 2, 05.1994, p. 441-446.

Research output: Contribution to journalArticle

Marks, Michael P. ; Dake, Michael D. ; Steinberg, Gary K. ; Norbash, Alexander M. ; Lane, Barton. / Stent placement for arterial and venous cerebrovascular disease : Preliminary experience. In: Radiology. 1994 ; Vol. 191, No. 2. pp. 441-446.
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