Multicenter Analysis of Stenting in Symptomatic Intracranial Atherosclerosis
Identifieur interne : 009219 ( Main/Merge ); précédent : 009218; suivant : 009220Multicenter Analysis of Stenting in Symptomatic Intracranial Atherosclerosis
Auteurs : Wei-Jian Jiang [République populaire de Chine] ; Esteban Cheng-Ching [États-Unis] ; Alex Abou-Chebl [États-Unis] ; Osama O. Zaidat [États-Unis] ; Tudor G. Jovin [États-Unis] ; Junaid Kalia [États-Unis] ; MUHAMMAD SHAZAM HUSSAIN [États-Unis] ; RIDWAN LIN [États-Unis] ; Amer M. Malik [États-Unis] ; Ferdinand Hui [États-Unis] ; Rishi Gupta [États-Unis]Source :
- Neurosurgery [ 0148-396X ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
Abstract
BACKGROUND: Stenting for symptomatic intracranial atherosclerotic disease is a therapeutic option in patients in whom medical therapy fails. OBJECTIVE: To determine the periprocedural complication rates and mid-term restenosis rates in patients treated with balloon-expandable stents (BESs) compared with self-expanding stents (SESs). METHODS: A retrospective review of consecutive patients treated with intracranial stents at 5 institutions was performed. Predictors of 30-day stroke and death as well as mid-term restenosis rates were analyzed. RESULTS: A total of 670 lesions were treated in 637 patients with a mean age of 57 ± 13 years. A total of 454 lesions (68%) were treated with BESs and 216 lesions (32%) with SESs. The overall 30-day periprocedural complication rate was 6.1%, without any difference noted between the 2 groups. Patients treated within 24 hours of the index event were significantly more likely to have experienced a periprocedural complication (odds ratio [OR], 4.0; 95% confidence interval [CI]: 1.7-6.7; P < .007), whereas focal lesions were less likely to have a complication (OR, 0.31; 95% CI: 0.13-0.72; P < .001). Midterm restenosis was less likely in patients with a lower percentage of posttreatment stenosis (OR, 0.97; 95% CI: 0.95-0.99; P < .006), which was more common in BES-treated patients and focal concentric lesions (OR, 0.33; 95% CI: 0.23-0.55; P < .0001). CONCLUSION: BESs have periprocedural complication rates similar to those of SESs. Less posttreatment stenosis was associated with lower rates of mid-term restenosis. Future randomized trials comparing BESs and SESs may help to identify the stent type that is safest and most durable.
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 004A24
- to stream PascalFrancis, to step Curation: 000475
- to stream PascalFrancis, to step Checkpoint: 002F33
Links to Exploration step
Pascal:12-0092635Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Multicenter Analysis of Stenting in Symptomatic Intracranial Atherosclerosis</title><author><name sortKey="Jiang, Wei Jian" sort="Jiang, Wei Jian" uniqKey="Jiang W" first="Wei-Jian" last="Jiang">Wei-Jian Jiang</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Beijing Tiantan Hospital</s1><s2>Beijing</s2><s3>CHN</s3><sZ>1 aut.</sZ></inist:fA14><country>République populaire de Chine</country><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Cheng Ching, Esteban" sort="Cheng Ching, Esteban" uniqKey="Cheng Ching E" first="Esteban" last="Cheng-Ching">Esteban Cheng-Ching</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Cerebrovascular Center, Cleveland Clinic Foundation</s1><s2>Cleveland, Ohio</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Abou Chebl, Alex" sort="Abou Chebl, Alex" uniqKey="Abou Chebl A" first="Alex" last="Abou-Chebl">Alex Abou-Chebl</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>University of Louisville</s1><s2>Louisville, Kentucky</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Kentucky</region></placeName></affiliation></author><author><name sortKey="Zaidat, Osama O" sort="Zaidat, Osama O" uniqKey="Zaidat O" first="Osama O." last="Zaidat">Osama O. Zaidat</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Medical College of Wisconsin</s1><s2>Milwaukee, Wisconsin</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Wisconsin</region></placeName></affiliation></author><author><name sortKey="Jovin, Tudor G" sort="Jovin, Tudor G" uniqKey="Jovin T" first="Tudor G." last="Jovin">Tudor G. Jovin</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Stroke Institute, University of Pittsburgh Medical Center</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>5 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Kalia, Junaid" sort="Kalia, Junaid" uniqKey="Kalia J" first="Junaid" last="Kalia">Junaid Kalia</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Medical College of Wisconsin</s1><s2>Milwaukee, Wisconsin</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Wisconsin</region></placeName></affiliation></author><author><name sortKey="Muhammad Shazam Hussain" sort="Muhammad Shazam Hussain" uniqKey="Muhammad Shazam Hussain" last="Muhammad Shazam Hussain">MUHAMMAD SHAZAM HUSSAIN</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Cerebrovascular Center, Cleveland Clinic Foundation</s1><s2>Cleveland, Ohio</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Ridwan Lin" sort="Ridwan Lin" uniqKey="Ridwan Lin" last="Ridwan Lin">RIDWAN LIN</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Stroke Institute, University of Pittsburgh Medical Center</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>5 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Malik, Amer M" sort="Malik, Amer M" uniqKey="Malik A" first="Amer M." last="Malik">Amer M. Malik</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Stroke Institute, University of Pittsburgh Medical Center</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>5 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Hui, Ferdinand" sort="Hui, Ferdinand" uniqKey="Hui F" first="Ferdinand" last="Hui">Ferdinand Hui</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Cerebrovascular Center, Cleveland Clinic Foundation</s1><s2>Cleveland, Ohio</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Gupta, Rishi" sort="Gupta, Rishi" uniqKey="Gupta R" first="Rishi" last="Gupta">Rishi Gupta</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Cerebrovascular Center, Cleveland Clinic Foundation</s1><s2>Cleveland, Ohio</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Departments of Neurology, Neurosurgery, and Radiology, Emory University School of Medicine, Marcus Stroke and Neuroscience Center, Grady Memorial Hospital</s1><s2>Atlanta, Georgia</s2><s3>USA</s3><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0092635</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0092635 INIST</idno><idno type="RBID">Pascal:12-0092635</idno><idno type="wicri:Area/PascalFrancis/Corpus">004A24</idno><idno type="wicri:Area/PascalFrancis/Curation">000475</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">002F33</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">002F33</idno><idno type="wicri:doubleKey">0148-396X:2012:Jiang W:multicenter:analysis:of</idno><idno type="wicri:Area/Main/Merge">009219</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Multicenter Analysis of Stenting in Symptomatic Intracranial Atherosclerosis</title><author><name sortKey="Jiang, Wei Jian" sort="Jiang, Wei Jian" uniqKey="Jiang W" first="Wei-Jian" last="Jiang">Wei-Jian Jiang</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Beijing Tiantan Hospital</s1><s2>Beijing</s2><s3>CHN</s3><sZ>1 aut.</sZ></inist:fA14><country>République populaire de Chine</country><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Cheng Ching, Esteban" sort="Cheng Ching, Esteban" uniqKey="Cheng Ching E" first="Esteban" last="Cheng-Ching">Esteban Cheng-Ching</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Cerebrovascular Center, Cleveland Clinic Foundation</s1><s2>Cleveland, Ohio</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Abou Chebl, Alex" sort="Abou Chebl, Alex" uniqKey="Abou Chebl A" first="Alex" last="Abou-Chebl">Alex Abou-Chebl</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>University of Louisville</s1><s2>Louisville, Kentucky</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Kentucky</region></placeName></affiliation></author><author><name sortKey="Zaidat, Osama O" sort="Zaidat, Osama O" uniqKey="Zaidat O" first="Osama O." last="Zaidat">Osama O. Zaidat</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Medical College of Wisconsin</s1><s2>Milwaukee, Wisconsin</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Wisconsin</region></placeName></affiliation></author><author><name sortKey="Jovin, Tudor G" sort="Jovin, Tudor G" uniqKey="Jovin T" first="Tudor G." last="Jovin">Tudor G. Jovin</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Stroke Institute, University of Pittsburgh Medical Center</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>5 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Kalia, Junaid" sort="Kalia, Junaid" uniqKey="Kalia J" first="Junaid" last="Kalia">Junaid Kalia</name><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Medical College of Wisconsin</s1><s2>Milwaukee, Wisconsin</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Wisconsin</region></placeName></affiliation></author><author><name sortKey="Muhammad Shazam Hussain" sort="Muhammad Shazam Hussain" uniqKey="Muhammad Shazam Hussain" last="Muhammad Shazam Hussain">MUHAMMAD SHAZAM HUSSAIN</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Cerebrovascular Center, Cleveland Clinic Foundation</s1><s2>Cleveland, Ohio</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Ridwan Lin" sort="Ridwan Lin" uniqKey="Ridwan Lin" last="Ridwan Lin">RIDWAN LIN</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Stroke Institute, University of Pittsburgh Medical Center</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>5 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Malik, Amer M" sort="Malik, Amer M" uniqKey="Malik A" first="Amer M." last="Malik">Amer M. Malik</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Stroke Institute, University of Pittsburgh Medical Center</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>5 aut.</sZ><sZ>8 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Hui, Ferdinand" sort="Hui, Ferdinand" uniqKey="Hui F" first="Ferdinand" last="Hui">Ferdinand Hui</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Cerebrovascular Center, Cleveland Clinic Foundation</s1><s2>Cleveland, Ohio</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation></author><author><name sortKey="Gupta, Rishi" sort="Gupta, Rishi" uniqKey="Gupta R" first="Rishi" last="Gupta">Rishi Gupta</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Cerebrovascular Center, Cleveland Clinic Foundation</s1><s2>Cleveland, Ohio</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>7 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Ohio</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Departments of Neurology, Neurosurgery, and Radiology, Emory University School of Medicine, Marcus Stroke and Neuroscience Center, Grady Memorial Hospital</s1><s2>Atlanta, Georgia</s2><s3>USA</s3><sZ>11 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Neurosurgery</title><title level="j" type="abbreviated">Neurosurgery</title><idno type="ISSN">0148-396X</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Neurosurgery</title><title level="j" type="abbreviated">Neurosurgery</title><idno type="ISSN">0148-396X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Atherosclerosis</term><term>Brain ischemia</term><term>Cerebral infarction</term><term>Instrumental dilatation</term><term>Intracranial</term><term>Nervous system diseases</term><term>Stenosis</term><term>Stent</term><term>Stroke</term><term>Surgery</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Athérosclérose</term><term>Sténose</term><term>Ramollissement cérébral</term><term>Accident cérébrovasculaire</term><term>Ischémie de l'encéphale</term><term>Pathologie du système nerveux</term><term>Intracrânien</term><term>Dilatation instrumentale</term><term>Stent</term><term>Chirurgie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">BACKGROUND: Stenting for symptomatic intracranial atherosclerotic disease is a therapeutic option in patients in whom medical therapy fails. OBJECTIVE: To determine the periprocedural complication rates and mid-term restenosis rates in patients treated with balloon-expandable stents (BESs) compared with self-expanding stents (SESs). METHODS: A retrospective review of consecutive patients treated with intracranial stents at 5 institutions was performed. Predictors of 30-day stroke and death as well as mid-term restenosis rates were analyzed. RESULTS: A total of 670 lesions were treated in 637 patients with a mean age of 57 ± 13 years. A total of 454 lesions (68%) were treated with BESs and 216 lesions (32%) with SESs. The overall 30-day periprocedural complication rate was 6.1%, without any difference noted between the 2 groups. Patients treated within 24 hours of the index event were significantly more likely to have experienced a periprocedural complication (odds ratio [OR], 4.0; 95% confidence interval [CI]: 1.7-6.7; P < .007), whereas focal lesions were less likely to have a complication (OR, 0.31; 95% CI: 0.13-0.72; P < .001). Midterm restenosis was less likely in patients with a lower percentage of posttreatment stenosis (OR, 0.97; 95% CI: 0.95-0.99; P < .006), which was more common in BES-treated patients and focal concentric lesions (OR, 0.33; 95% CI: 0.23-0.55; P < .0001). CONCLUSION: BESs have periprocedural complication rates similar to those of SESs. Less posttreatment stenosis was associated with lower rates of mid-term restenosis. Future randomized trials comparing BESs and SESs may help to identify the stent type that is safest and most durable.</div></front></TEI><affiliations><list><country><li>République populaire de Chine</li><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li><li>Kentucky</li><li>Ohio</li><li>Pennsylvanie</li><li>Wisconsin</li></region><settlement><li>Pékin</li></settlement></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Jiang, Wei Jian" sort="Jiang, Wei Jian" uniqKey="Jiang W" first="Wei-Jian" last="Jiang">Wei-Jian Jiang</name></noRegion></country><country name="États-Unis"><region name="Ohio"><name sortKey="Cheng Ching, Esteban" sort="Cheng Ching, Esteban" uniqKey="Cheng Ching E" first="Esteban" last="Cheng-Ching">Esteban Cheng-Ching</name></region><name sortKey="Abou Chebl, Alex" sort="Abou Chebl, Alex" uniqKey="Abou Chebl A" first="Alex" last="Abou-Chebl">Alex Abou-Chebl</name><name sortKey="Gupta, Rishi" sort="Gupta, Rishi" uniqKey="Gupta R" first="Rishi" last="Gupta">Rishi Gupta</name><name sortKey="Gupta, Rishi" sort="Gupta, Rishi" uniqKey="Gupta R" first="Rishi" last="Gupta">Rishi Gupta</name><name sortKey="Hui, Ferdinand" sort="Hui, Ferdinand" uniqKey="Hui F" first="Ferdinand" last="Hui">Ferdinand Hui</name><name sortKey="Jovin, Tudor G" sort="Jovin, Tudor G" uniqKey="Jovin T" first="Tudor G." last="Jovin">Tudor G. Jovin</name><name sortKey="Kalia, Junaid" sort="Kalia, Junaid" uniqKey="Kalia J" first="Junaid" last="Kalia">Junaid Kalia</name><name sortKey="Malik, Amer M" sort="Malik, Amer M" uniqKey="Malik A" first="Amer M." last="Malik">Amer M. Malik</name><name sortKey="Muhammad Shazam Hussain" sort="Muhammad Shazam Hussain" uniqKey="Muhammad Shazam Hussain" last="Muhammad Shazam Hussain">MUHAMMAD SHAZAM HUSSAIN</name><name sortKey="Ridwan Lin" sort="Ridwan Lin" uniqKey="Ridwan Lin" last="Ridwan Lin">RIDWAN LIN</name><name sortKey="Zaidat, Osama O" sort="Zaidat, Osama O" uniqKey="Zaidat O" first="Osama O." last="Zaidat">Osama O. Zaidat</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Amérique/explor/PittsburghV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 009219 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 009219 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Amérique
|area= PittsburghV1
|flux= Main
|étape= Merge
|type= RBID
|clé= Pascal:12-0092635
|texte= Multicenter Analysis of Stenting in Symptomatic Intracranial Atherosclerosis
}}
| This area was generated with Dilib version V0.6.38. |  |