P5.18 TRANSRADIAL APPROACH FOR VERTEBRAL ARTERY STENTING: SINGLE-CENTER EXPERIENCE

Damian Maciejewski*; Lukasz Tekieli; Anna Kablak-Ziembicka; Karolina Dzierwa; Piotr Paluszek; Andrzej Brzychczy; Grzegorz Lewinski; Magdalena Wojcik-Pedziwiatr; Roman Machnik; Piotr Pieniazek

doi:10.1016/j.artres.2015.10.281

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Volume 12, Issue C, December 2015, Pages 24 - 24

P5.18 TRANSRADIAL APPROACH FOR VERTEBRAL ARTERY STENTING: SINGLE-CENTER EXPERIENCE

Authors

Damian Maciejewski*¹, Lukasz Tekieli¹, Anna Kablak-Ziembicka¹, Karolina Dzierwa¹, Piotr Paluszek², Andrzej Brzychczy², Grzegorz Lewinski², Magdalena Wojcik-Pedziwiatr³, Roman Machnik², Piotr Pieniazek¹

¹Department of Interventional Cardiology, Institute of Cardiology, Collegium Medicum, Jagiellonian University, John Paul II Hospital, Krakow, Poland

²Department of Vascular Surgery and Endovascular Interventions, John Paul II Hospital, Krakow, Poland

³Department of Neurology, John Paul II Hospital, Krakow, Poland

Available Online 23 November 2015.

DOI: 10.1016/j.artres.2015.10.281 How to use a DOI?
Abstract: Objectives: Transradial vertebral artery (VA) angioplasty might be a viable alternative to the transfemoral approach in cases of peripheral artery disease or anatomical variations of the aortic arch. The purpose of our study was to evaluate the safety and efficacy of transradial stenting of symptomatic VA stenosis.

Material and methods: Seventeen patients [67±8,4 years, 76% men, with >80% stenosis, 13 right-side, all symptomatic from posterior circulation (history of stroke, TIA or chronic ischemic symptoms)] with peripheral artery disease (PAD) or unsuccessful attempt via femoral access were scheduled for VA angioplasty by radial approach. Clinical and duplex ultrasound (DUS) follow-up were performed before discharge and 6, 12 and 24 months after VA stenting.

Results: The technical success rate was 100%. In all cases VA angioplasty was performed with the use of single balloon-mounted stent (11 bare metal stents, 6 drug eluting stents). The mean NASCET VA stenosis was reduced from 87,5% to 5,9% (p<0.001). No periprocedural death, stroke, myocardial infarction or transient ischemic attack occurred. During 24-months follow-up in 14 of 17 patients chronic ischemia symptoms release was observed, no new acute ischemic neurological symptoms were diagnosed in all patients. One patient died 20 months after intervention from unknown cause. There was one, symptomatic border-line VA in-stent stenosis 12 months after angioplasty.

Conclusion: Transradial VA stenting may be effective and safe procedure and it may constitute an alternative to femoral approach in patients with symptomatic vertebral artery stenosis.
Open Access: This is an open access article distributed under the CC BY-NC license.

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Journal: Artery Research
Volume-Issue: 12 - C
Pages: 24 - 24
Publication Date: 2015/11/23
ISSN (Online): 1876-4401
ISSN (Print): 1872-9312
DOI: 10.1016/j.artres.2015.10.281 How to use a DOI?
Open Access: This is an open access article distributed under the CC BY-NC license.

Cite this article

ris enw bib

TY  - JOUR
AU  - Damian Maciejewski*
AU  - Lukasz Tekieli
AU  - Anna Kablak-Ziembicka
AU  - Karolina Dzierwa
AU  - Piotr Paluszek
AU  - Andrzej Brzychczy
AU  - Grzegorz Lewinski
AU  - Magdalena Wojcik-Pedziwiatr
AU  - Roman Machnik
AU  - Piotr Pieniazek
PY  - 2015
DA  - 2015/11/23
TI  - P5.18 TRANSRADIAL APPROACH FOR VERTEBRAL ARTERY STENTING: SINGLE-CENTER EXPERIENCE
JO  - Artery Research
SP  - 24
EP  - 24
VL  - 12
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2015.10.281
DO  - 10.1016/j.artres.2015.10.281
ID  - Maciejewski*2015
ER  -

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