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Transluminal Angioplasty for Middle Cerebral Artery Stenosis in Patients with Acute Ischemic Stroke
AJNR 20:553-558, Suh,D.C.,et al, 1999
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Article Abstract
Stenotic arteries were successfully dilated in nine of 10 patients. Angioplasty failed in one patient because the balloon could not pass through the tortuous cavernous internal carotid artery. None of the patients experienced either peri - or postangioplasty complications. Residual stenosis was less that 50%, and clinical improvement, including elimination of TIAs in four patients who had suffered resistant TIAs, was observed in all patients; improvement of the cerebral perfusion was als o noted in two patients with a large hypoperfusion area in the MCA territory. The average follow-up period was 11 months (range, 2 to 36 months). None experienced recurrent stroke during the follow-up period. TCD revealed decreased flow velocity of the MCA after the angioplasty in seven patients. PTA of the proximal portion of the MCA seems to be a safe and effective therapeutic technique for the prevention of secondary ischemic stroke.
Related Tags
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cerebrovascular disease,surgical treatment of
endovascular therapy
middle cerebral artery,stenosis of
neuroradiology,interventional
transluminal angioplasty,intracranial
transluminal angioplasty,middle cerebral artery
treatment of neurologic disorder
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