Endovascular Recanalization in Patients With Vertebral Artery Stump Syndrome: A Single-Center Experience.

Vascular and endovascular surgery Pub Date : 2024-09-19 DOI:10.1177/15385744241286603

Renjie Ji, Hanfeng Chen, Ziqi Xu, Benyan Luo

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Abstract

Background: To evaluate the feasibility, success rate, and safety of endovascular revascularization of patients with vertebral artery stump syndrome (VASS).

Methods: This single-center retrospective study analyzed clinical and imaging data from consecutive patients with VASS who underwent endovascular recanalization from January 2020 until June 2023.

Results: Our study enrolled 30 patients [mean age 69 (range 51-84) years; 26 men]. The rate of successful technical revascularization was 96.7% (n = 29), and the rate of complications was 3.3% (n = 1). At the 6-month follow-up, the patients with successful endovascular revascularization of VASS did not have any neurological symptoms, and computed tomography angiography showed 3/29 (10.3%) re-occlusions and 4/29 (13.8%) restenosis of the stent, which was confirmed by digital subtraction angiography.

Conclusions: Endovascular recanalization in patients with VASS is feasible in selected patients and has a high procedural success rate and low rate of complications. A large, multicenter, randomized study is warranted to confirm these findings.

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椎动脉残端综合征患者的血管内再通术：单中心经验

背景：评估椎动脉残端综合征（VASS）患者接受血管内再通术的可行性、成功率和安全性：评估椎动脉残端综合征（VASS）患者血管内再通的可行性、成功率和安全性：这项单中心回顾性研究分析了 2020 年 1 月至 2023 年 6 月期间接受血管内再通术的连续 VASS 患者的临床和影像学数据：我们的研究共纳入 30 名患者[平均年龄 69（51-84）岁；26 名男性]。血管重建技术成功率为 96.7%（29 例），并发症发生率为 3.3%（1 例）。在6个月的随访中，VASS血管内再通术成功的患者没有出现任何神经症状，计算机断层扫描血管造影显示3/29（10.3%）患者再次闭塞，4/29（13.8%）患者支架再狭窄，数字减影血管造影证实了这一点：结论：对VASS患者进行血管内再通术是可行的，而且手术成功率高，并发症发生率低。有必要进行一项大型、多中心、随机研究来证实这些发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Vascular and endovascular surgery

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