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Safety and Efficacy of Percutaneous Transluminal Angioplasty for Intracranial Atherosclerotic Stenosis
Stroke 26:1200-1204, Clark,W.M.,et al, 1995
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Article Abstract
The average preangioplasty stenosis(North American Symptomatic Carotid Endarterectomy Trial criteria)was 72+/-8%(mean+/-SD),with a significant improvement seen after angioplasty;the best angiographic stenosis(after healing of intimal injury,if any)was 43+/-24%(P<.001).Overall PCTA was successful in 82%of the vessels.There were two strokes during angioplasty for a 30-day morbidity rate of 9.1%per vessel and 11.7%per case.The other 15 patients were clinically evaluated at 3 and 6 months;all cases were without further events.Restenosis was evaluated in 8 patients(12 vessels) with an angiogram at 6 months showing further improvement compared with initial post-PCTA stenosis(51+/-10%versus 37+/-21%[P=.05]).PCT may be a beneficial therapy in selected cases of symptomatic intracranial atherosclerotic stenosis.Further study using a randomized trial is needed.
 
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basilar artery
basilar artery stenosis
carotid artery
carotid artery atherosclerosis
carotid artery stenosis
carotid artery stenosis,intracranial
endovascular therapy
internal carotid artery
middle cerebral artery,stenosis of
neuroradiology,interventional
transluminal angioplasty,carotid artery
transluminal angioplasty,intracranial
transluminal angioplasty,vertebral artery
treatment of neurologic disorder
vertebral artery
vertebral artery stenosis
vertebral-basilar artery,atherosclerosis

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