Vertebral artery stenting: problem of restenosis

Cover Page


Cite item

Full Text

Abstract

Balloon angioplasty with stenting is actual uninvasive and safe method of vertebral arteries stenosis treatment, having high level of technical success. But high rate of restenosis development is leading problem of endovascular intervention. In review the problem of restenosis development after vertebral artery proximal part stenting is being discussed as well as its clinical onset, possible cause and factors promoting its formation and probable direction of this problem solving.

 

About the authors

Andrey O. Chechetkin

Research Center of Neurology

Author for correspondence.
Email: andreychechetkin@gmail.com
ORCID iD: 0000-0002-8726-8928

D. Sci. (Med.), Head, Ultrasound diagnostic laboratory

Russian Federation, Moscow

References

  1. Бокерия Л.А., Алекян Б.Г., Голухова Е.З. и др. Применение стентов с лекарственным антипролиферативным покрытием в лечении больных ишемической болезнью сердца. Креативная кар- диол. 2007; 1–2: 183–199.
  2. Буза В.В., Карпов Ю.А., Самко А.Н. и др. Оценка течения ишемической болезни сердца после установки стентов с лекарственным покрытием и непокрытых металлических стентов: данные трехлетнего наблюдения. Кардиология 2008; 12: 34–41.
  3. Верещагин Н.В. Патология вертебрально-базилярной системы и нарушения мозгового кровообращения. М.: Медицина, 1980.
  4. Метелкина Л.П., Щипакин В.Л. Реконструктивная хирургия при вертебрально-базилярной недостаточности и нейрохирургия. Нейрохирургия 2006; 1: 7–10.
  5. Федорченко А.Н., Ткачев В.В., Усачев О.С. и др. Ближайшие результаты эндоваскулярного лечения поражений вертебральной артерии при интактной второй. Междунар. журн. интервенционной кардиоангиологии. Тез. Третьего Рос. съезда интервенционных кардиоангиологов. 2008; 14: 118.
  6. Шмидт Е.В., Лунев Д.К., Верещагин Н.В. Сосудистые заболевания головного и спинного мозга. М.: Медицина, 1976.
  7. Akins P., Kerber C., Pakbaz R. Stenting of vertebral artery origin atherosclerosis in high-risk patients: bare or coated? A single-center consecutive case series. J. Invasive Cardiol. 2008; 20 (1): 14–20.
  8. Albuquerque F., Fiorella D., Han P. et al. A reappraisal of angioplasty and stenting for the treatment of vertebral origin stenosis. Neurosurg. 2003; 53 (3): 607–614.
  9. Artang R., Dieter R. Analysis of 36 reported cases of late thrombosis in drag-eluting stents in coronary arteries. Am. J. Cardiol. 2007; 99 (6): 779–784.
  10. Bamford J., Sandercock P., Dennis M. et al. Classification and natural history of clinically identifiable subtypes of cerebral infarction. Lancet 1991; 337: 1521–1526.
  11. Berguer R. Vertebrobasilar ischaemia: indications, techniques, and results of surgical repair. In: Saunders W. (eds.) Vascular Surgery 5th edn. Philadelphia, 2000: 1823–1837.
  12. Bogousslavsky J., van Melle G., Regli F. The Lausanne Stroke Registry: analysis of 1,000 consecutive patients with first stroke. Stroke 1988; 19: 1083–1092.
  13. Bush R., Najibi S., MacDonald M. et al. Endovascular revascularization of renal artery stenosis: Technical and clinical results. J. Vasc. Surg. 2001; 33: 1041–1049.
  14. Chastain H., Campbell M., Iyer S. et al. Extracranial vertebral artery stent placement: in-hospital and follow-up results. J. Neurosurg. 1999; 91 (4): 547–552.
  15. Cloud G., Crawley F., Clifton A. et al. Vertebral artery origin angioplasty and primary stenting: safety and restenosis rates in a prospective series. J. Neurol. Neurosurg. Psychiatry 2003; 74: 586–590.
  16. Cloud G., Markus H. Diagnosis and management of vertebral artery stenosis. QJM 2003; 96: 27–54.
  17. Compter A., van der Worp H., Schonewille W. et al. VAST: Vertebral Artery Stenting Trial. Protocol for a randomised safety and feasibility trial. Trials 2008; 9 (65). http://www.trialsjournal.com/content/9/1/65.
  18. Courtheoux P., Tournade A., Theron J. et al. Transcutaneous angioplasty of vertebral artery atheromatous ostial stricture. Neuroradiol. 1985; 27: 259–264.
  19. Coward L., McCabe D., Ederle J. et al. Long-term outcome after angioplasty and stenting for symptomatic vertebral artery stenosis compared with medical treatment in the Carotid And Vertebral Artery Transluminal Angioplasty Study (CAVATAS). A randomized trial. Stroke 2007; 38: 1526–1530.
  20. Crawley F., Brown M., Clifton A. Angioplasty and stenting in the carotid and vertebral arteries. Postgrad Med. J. 1998; 74: 7–10.
  21. Dabus G., Gerstle R., Derdeyn C. et al. Endovascular treatment of the vertebral artery origin in patients with symptoms of vertebrobasilar ischemia. Neuroradiol. 2006; 48 (12): 917–923.
  22. Diaz F., Ausman J., los Reyes R. et al. Surgical reconstruction of the proximal vertebral artery. J. Neurosurg. 1984; 61: 874–881.
  23. Duprat G., Wright K., Charnsangavej C. et al. Selfexpanding metallic stents for small vessels: An experimental evaluation. Radiol. 1987; 162: 469–472.
  24. Eberhardt O., Naegele T., Raygrotzki S. et al. Stenting of vertebrobasilar arteries in symptomatic atherosclerotic disease and acute occlusion: case series and review of the literature. J. Vasc. Surg. 2006; 43 (6): 1145–1154.
  25. Ellis S., Roubin G., King S. et al. Importance of stenosis morphology in the estimation of restenosis risk after elective percutaneous transluminal coronary angioplasty. Am. J. Cardiol. 1989; 63: 30–34.
  26. Fessler R., Wakhloo A., Lanzino G. et al. Stent placement for vertebral artery occlusive disease: preliminary clinical experience. Neurosurg. Focus 1998; 5 (4): 15.
  27. Flossmann E., Rothwell P. Prognosis of vertebrobasilar transient ischaemic attack and minor stroke. Brain 2003; 126: 1940–1954.
  28. Floumann E., Rothwell P. Prognosis of vertebrobasilar transient ischaemic attack and minor stroke. Brain 2003; 126: 1940–1954.
  29. Gupta R., Al-Ali F., Thomas A. et al. Safety, feasibility, and shortterm follow-up of drug-eluting stent placement in the intracranial and extracranial circulation. Stroke 2006; 37: 2562–2566.
  30. Hatano T., Tsukahara T., Ogino E. et al. Stenting for vertebrobasilar artery stenosis. Acta Neurochir. Suppl. 2005; 94: 137–141.
  31. Henry М., Henry I., Klonaris С. Чрескожная транслюминальная ангиопластика и стентирование стенозов экстракраниальных вертебральных артерий. В кн.: Алекян Б.Г., Анри М., Спиридонов А.А., Тер-Акопян А.В. Эндоваскулярная хирургия при патологии брахиоцефальных артерий. М.: Изд-во НЦССХ им. А.Н. Бакулева РАМН, 2001: 124–136.
  32. Heyman A., Wilkinson W., Hurwitz B. et al. Clinical and epidemiologic aspects of vertebrobasilar and nonfocal cerebral ischemia. In: Berguer R., Bauer R. (eds.) Vertebrobasilar arterial occlusive disease. Medical and Surgical Management. N. Y.: Raven Press, 1984: 27–36.
  33. Higashida R., Hieshima G., Tsai F. et al. Percutaneous transluminal angioplasty of the subclavian and vertebral arteries. Acta Radiol. Suppl. 1986; 369: 124–126.
  34. Higashida R., Tsai F., Halbach V. et al. Transluminal angioplasty for atherosclerotic disease of the vertebral and basilar arteries. J. Neurosurg. 1993; 78: 192–198.
  35. Imparato A., Riles T., Kim G. Cervical vertebral angioplasty for brain stem ischemia. Surg. 1981; 90: 842–852.
  36. Imparato A. Vertebral arterial reconstruction: A nineteen-year experience. J. Vasc. Surg. 1985; 2: 626–634.
  37. Jenkins J., White C., Ramee S. et al. Vertebral artery stenting. Catheter Cardiovasc. Interv. 2001; 54 (1): 1–5
  38. Jenkins J., White C., Ramee S. et al. Vertebral insufficiency: When to intervene and how? Curr. Interv. Cardiol. Rep. 2000; 2: 91–94.
  39. Kachel R., Endert G., Basche S. et al. Percutaneous transluminal angioplasty (dilatation) of carotid, vertebral, and innominate artery stenoses. Cardiovasc. Intervent Radiol. 1987; 10: 142–146.
  40. Kantarci F., Mihmanli I., Albayram M. et al. Follow-up of extracranial vertebral artery stents with Doppler sonography. AJR 2006; 186: 779–787.
  41. Kastrati A., Mehilli J., Dirschinger J. et al. Intracoronary stenting and angiographic results: strut thickness effect on restenosis outcome (ISAR-STEREO) trial. Circulation 2001; 103: 2816–2821.
  42. Ko Y.-G., Park S., Kim J.-Y. et al. Percutaneous interventional treatment of extracranial vertebral artery stenosis with coronary stents. Yonsei Medical J. 2004; 45 (4): 629–634.
  43. Lederman R., Mendelsohn F., Santos R., Phillips H. et al. Primary renal artery stenting: Characteristics and outcomes after 363 procedures. Am. Heart J. 2001; 142: 314–323.
  44. Lin Y.-H., Liu Y., Tseng W. et al. The impact of lesion length on angiographic restenosis after vertebral artery origin stenting. Eur. J. Vasc. Endovasc. Surg. 2006; 32; 379–385.
  45. Lin Y.-H., Hung Ch.-Sh., Tseng W.-Y. et al. Safety and feasibility of drug-eluting stent implantation at vertebral artery origin: The first case series in Asians. Med. Assoc. 2008; 107 (3): 253–258.
  46. Lugmayr H., Kastner M., Frohler W. et al. Sirolimus-eluting stents for the treatment of symptomatic extracranial vertebral artery stenoses: early experience and 6-month follow-up. Rofo 2004; 176: 1431–1435.
  47. Marks M., Marcellus M., Norbash A. et al. Outcome of angioplasty for atherosclerotic intracranial stenosis. Stroke 1999; 30: 1065–1069.
  48. Mathias D., Mooney J., Lange H. et al. Frequency of success and complications of coronary angioplasty of a stenosis at the ostium of a branch vessel. Am. J. Cardiol. 1991; 67: 491–495.
  49. Moses J., Leon M., Popma J. et al. Sirolimus-eluting stents versus standard stents in patients with stenosis in a native coronary artery. N. Engl J. Med. 2003; 349: 1315–1323.
  50. Motarjeme A., Keifer J., Zuska A. Percutaneous transluminal angioplasty of the vertebral arteries. Radiol. 1981; 139: 715–717. 51. Moufarrij N., Little J., Furlan A. et al. Vertebral artery stenosis: Long-term follow-up. Stroke 1984; 15: 260–263.
  51. Mukherjee D., Roffi M., Kapadia S. et al. Percutaneous intervention for symptomatic vertebral artery stenosis using coronary stents. J. Invasive Cardiol. 2001; 13: 363–366.
  52. Ong, A., McFadden E., Regar E. et al. Late angiographic stent thrombosis (LAST) events with drug-eluting stents. J. Am. Coll. Cardiol. 2005; 45 (12): 2088–2092.
  53. Patrick B., Ramirez-Lassepas M., Synder B. Temporal profile of vertebrobasilar territory infarction. Prognostic implications. Stroke 1980; 11: 643–648.
  54. Phipp L., Scott D., Kessel D., Robertson I. Subclavian stents and stent-grafts: cause for concern? J. Endovasc Surg. 1999; 6: 223–226.
  55. Rocha-Singh K. Vertebral artery stenting: Ready for prime time? Catheter Cardiovasc. Interv. 2001; 54: 6–7.
  56. Ringer A., German J., Guterman L., Hopkins L. Follow-up of stented carotid arteries by Doppler ultrasound. Neurosurg. 2002; 51: 639–643
  57. Sacks B., Miller A., Gottlieb M. Fracture of an iliac artery Palmaz stent. J. Vasc. Interv. Radiol. 1996; 7: 53–55.
  58. Sakaguchi M., Kitagawa K., Hougaku H. et al. Mechanical compression of the extracranial vertebral artery during neck rotation. Neurol. 2003; 61: 845–847.
  59. Savitz S., Caplan L. Vertebrobasilar disease. N. Engl. J. Med. 2005; 352: 2618–2626.
  60. Schwartz R., Henry T. Pathophysiology of coronary artery restenosis. Rev. Cardiovasc. Med. 2002; 3 (Suppl. 5): 4–9.
  61. Schwartz C., Mitchell J. Atheroma of the carotid and vertebral arterial systems. Br. Med. J. 1961; 5259: 1057–1063.
  62. Sousa J., Costa M., Abizaid A. et al. Lack of neointimal proliferation after implantation of sirolimus-coated stents in human coronary arteries: a quantitative coronary angiography and three-dimensional intravascular ultrasound study. Circulation 2001; 103: 192–195.
  63. Spetzler R., Hadley M., Martin N. et al. Vertebrobasilar insufficiency. Part 1: Microsurgical treatment of extracranial vertebrobasilar disease. J. Neurosurg. 1987; 66: 648–661.
  64. Stenting of Symptomatic Atherosclerotic Lesions in the Vertebral or Intracranial Arteries (SSYLVIA): Study Results. Stroke 2004; 35: 1388–1392.
  65. Stone G., Ellis S., Cox D. et al. A polymerbased, paclitaxel-eluting stent in patients with coronary artery disease. N. Engl. J. Med. 2004; 350: 221–231.
  66. Taylor R., Siddiq F., Suri M. et al.Risk factors for in-stent restenosis after vertebral ostium stenting. J. Endovasc. Ther. 2008; 15 (2): 203–212.
  67. Tsutsumi M., Kazekawa K., Onizuka M. et al. Stent fracture in revascularization for symptomatic ostial vertebral artery stenosis. Neuroradiol. 2007; 49 (3): 253–257.
  68. Vajda Z., Miloslavski E., Guthe T. et al. Treatment of stenoses of vertebral artery origin using short drug-eluting coronary stents: Improved follow-up results. AJNR Am. J. Neuroradiol. 2009; 30 (9): 1653–1656.
  69. Virmani R., Farb A. Pathology of in-stent restenosis. Curr. Opin. Lipidol. 1999; 10: 499–506.
  70. Wakhloo A., Tio F., Lieber B. et al. Self-expanding nitinol stents in canine vertebral arteries: Hemodynamics and tissue response. AJNR Am. J. Neuroradiol. 1995; 16: 1043–1051.
  71. Weber W., Mayer T., Henkes H. et al. Efficacy of stent angioplasty for symptomatic stenoses of the proximal vertebral artery. Eur. J. Radiol. 2005; 56: 240–247.
  72. Weber W., Mayer T., Henkes H. et al. Stent-angioplasty of intracranial vertebral and basilar artery stenoses in symptomatic patients. Eur. J. Radiol. 2005; 55: 231–236.
  73. Wehman J., Hanel R., Guidot Ch. et al. Atherosclerotic occlusive extracranial vertebral artery disease: Indications for intervention, endovascular techniques, short-term and long-term results. J. Interven. Cardiol. 2004; 17 (4): 219–232.
  74. Whisnant J., Cartlidge N., Elvebach L. Carotid and vertebral-basilar transient ischemic attacks: Effects of anticoagulants, hypertension, and cardiac disorders on survival and stroke occurrence – a population study. Ann. Neurol. 1978; 3: 107–115.
  75. Wityk R., Chang H., Rosengart A. et al. Proximal extracranial vertebral artery disease in the New England Medical Center Posterior Circulation Registry. Arch. Neurol. 1998; 55: 470–480.
  76. Zampieri P., Colombo A., Almagor Y. et al. Results of coronary stenting of ostial lesions. Am. J. Cardiol. 1994; 73: 901–903.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2010 Chechetkin A.O.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77-83204 от 12.05.2022.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies