Clinical Study

Endovascular Recanalization for Chronic Symptomatic Intracranial Vertebral Artery Total Occlusion

Table 1

Clinical summary of 9 patients undergoing endovascular recanalization of chronic intracranial vertebrobasilar occlusion.

No.Age, yrs/sexSymptoms on admissionTime between symptoms and treatment, moImage-documented
vertebrobasilar occlusion, d
mRS score
on admission
Success of recanalizationOcclusion site/balloon mm/stent mmPeriprocedural
complication
Concomitant stenosisPeriprocedural
complication
mRS Score at dischargemRS score at latest follow-up Clinical
follow-up,
mo
Angiography
follow-up,
mo
In-stent
stenosis

152/MVertigo5 82YesLV4/
gateway /
Wingspan
NoneRV4 total occlusionNone106360Mild

259/MDizziness5142YesLV4/
Invatec /
coroflex theca
NoneRV4 total occlusionNone1047NANA

362/MDizziness651YesRV4/
Invatec /
Apollo
NoneRV3 total occlusion*; LV4 severe stenosisNone004410None

461/MVertigo and bilateral limb weakness4 102YesRV4/
gateway /
Wingspan ; coroflex blue, ; Wingspan
Cerebellum hemorrhage LV4 total occlusionCerebellum hemorrhage 6NANANANA

552/MDizziness and bilateral limb weakness6212NARV4/none/noneNALV4 total occlusionNA2NANANANA

672/MVertigo and bilateral limb weakness640 2YesRV4/
Invatec /
Invatec
NoneLV4 severe stenosisNone102924Mild

771/MVertigo and loss of alance3272Partial recanalizationLV4/
gateway /
Wingspan , Wingspan
Dissection and perforationLV1 moderate stenosis; RC1 moderate stenosis; RV4 severe stenosis; LC1 severe stenosisDissection; arterial perforation101NANA

837/MBlurred vision and vertigo2311YesLV4/
gateway /
Wingspan
Subacute thrombosisRV4 severe stenosisSubacute thrombosis001NANA

RV3 treated with a  mm Apollo stent.
LV4 treated with a  mm Invatec balloon and placement of a  mm Apollo stent.
LC1 treated with a  mm Viatrac balloon and placement of a  mm precise stent.
RV4 treated with a  mm Apollo stent.