Research Article

Effects of the Vertebral Artery Ostium/Subclavian Artery Angle on In-Stent Restenosis after Vertebral Artery Ostium Stenting

Table 1

Demographic and clinical summary of vertebral artery ostium in patients with and without in-stent restenosis at follow-up.

Variable () ()HR (95% CI)

Mean age (y)0.540.64 (0.15-2.71)
Male ( (%))46 (93.9)7 (87.5)0.640.58 (0.06-5.89)
Hypertension ( (%))32 (65.3)4 (50.0)0.550.64 (0.14-2.84)
Diabetes ( (%))15 (30.6)2 (25.0)0.781.30 (0.20-8.51)
Hyperlipidemia ( (%))6 (12.2)6 (75.0)0.153.89 (0.60-25.13)
Coronary artery disease ( (%))16 (32.7)1 (12.5)0.620.58 (0.07-5.10)
Smokers ( (%))33 (67.3)4 (50.0)0.520.60 (0.12-2.92)
History of alcohol use ( (%))26 (53.1)3 (37.5)0.380.51 (0.12-2.28)
Symptoms ( (%))
 TIA34 (69.4)5 (62.5)0.450.37 (0.03-5.11)
 Stroke3 (6.1)1 (12.5)0.300.27 (0.02-3.20)
 No symptoms12 (24.5)2 (25.0)0.580.65 (0.16-3.10)
Contralateral vertebral
Stenosis or occlusion ( (%))13 (26.5)2 (25.0)0.500.50 (0.08-3.44)
Preoperative stenosis rate (%)0.060.13 (0.01-1.08)
Residual stenosis (%)0.340.15 (0.00-7.92)
Location of stenting ( (%))0.841.22 (0.18-8.40)
 LVAO30 (61.2)5 (62.5)
 RVAO19 (38.8)3 (37.5)
Stent diameter (mm)0.170.28 (0.05-1.72)
Stent length (mm)0.573.11 (0.06-167.04)
Vessel tortuosity ( (%))6 (12.2)2 (25.0)0.090.04 (0.00-1.80)
Preoperative angle (°)0.040.19 (0.04-0.96)
 ≥70°16 (72.7)6 (27.3)
 <70°33 (94.3)2 (5.7)
Postoperative angle ()0.0212.11 (1.40-105.04)
  ≥70°19 (76.0)6 (24.0)
 <70°30 (93.8)2 (6.2)

ISR: in-stent restenosis; TIA: transient ischaemic attack; LVAO: left vertebral artery origin; RVAO: right vertebral artery origin.