Neueste Studien zu intrakraniellen Stenosen

Translated title of the contribution: Recent studies on intracranial stenosis

I. Q. Grunwald, S. C. Bertog

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Clinical issue: Symptomatic intracranial stenoses are associated with a high risk of stroke. Medical management with platelet inhibitors or anticoagulation has not been shown to substantially lower this risk. Hence, alternative treatment options are desperately needed. Treatment innovations: The concept of percutaneous intervention using balloon angioplasty with or without stenting is appealing at first sight which is why intracranial balloons and stents were developed. Performance: Initial studies using dedicated intracranial stents were more promising; however, the only randomized trial recently published using a dedicated intracranial self-expanding stent demonstrated a high periprocedural complication rate. Evaluation and practical recommendations: Due to study design limitations it would be premature to categorically denounce an interventional option for the treatment of symptomatic intracranial stenoses. More importantly, the results of the randomized SAMMPRIS trial should stimulate the development of safer technology and patient selection to minimize procedural risks. This will perhaps allow significant risk reduction of this potentially devastating intracranial condition when it cannot otherwise be addressed.

Translated title of the contributionRecent studies on intracranial stenosis
Original languageGerman
Pages (from-to)1107-1111
Number of pages5
JournalRadiologe
Volume52
Issue number12
DOIs
StatePublished - 2012

Keywords

  • Balloon angioplasty
  • Intracranial stenosis
  • Perioperative risk
  • Stent implantation
  • Stroke

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