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Research ArticleNeurointervention

Diffusion-Weighted Imaging Abnormalities after Percutaneous Transluminal Angioplasty and Stenting for Intracranial Atherosclerotic Disease

Tomoyuki Tsumoto, Tomoaki Terada, Mitsuhiro Tsuura, Hiroyuki Matsumoto, Osamu Masuo, Hiroo Yamaga and Toru Itakura
American Journal of Neuroradiology February 2005, 26 (2) 385-389;
Tomoyuki Tsumoto
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Tomoaki Terada
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Mitsuhiro Tsuura
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Hiroyuki Matsumoto
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Osamu Masuo
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Hiroo Yamaga
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Toru Itakura
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    Fig 1.

    Case 2.

    A and B, Right ICA angiograms. Pretreatment image in A shows long segmental stenosis of the right C4 portion. After stent placement, image in B shows good dilatation.

    C, Postprocedural DW imaging shows type C lesions in the frontal and parietal subcortex.

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    Fig 2.

    Case 3. Right ICA angiograms.

    A, Pretreatment image shows elongated stenosis of the right C4 portion.

    B, After stent placement, image shows good dilatation.

Tables

  • Figures
  • Characteristics of 16 patients treated for intracranial atherosclerotic disease

    Pt/Age (y)/SexStenotic PortionStenotic Rate (%)Lesion Length (mm)Antiplatelet TherapyEndovascular TherapyDevice*Anticoagulation (d)DWI†
    BeforeAfterAbnormalityLocation
    1/58/ML C4 stenosis700931 dPTA, stentingSavvy 3.0 × 20, S670 4.0 × 123ANot applicable
    2/58/MR C4 stenosis8502010 dPTA, stentingMaverick 2.5 × 20, S670 3.0 × 241CFrontal, parietal
    3/68/MR C4 stenosis7601260 dPTA, stentingGateway 3.0 × 15, Bx-Velocity 4.5 × 182CFrontal, parietal, basal ganglia
    4/70/FR C4 stenosis6315730 dPTA, stentingOpen sail 2.5 × 10, S670 3.5 × 93BFrontal (contralateral)
    5/71/MR C5 stenosis6701319 dPTA, stentingMaverick 3.5 × 15, S670 3.5 × 151BFrontal
    6/78/MR C5 stenosis600713 dPrimary stentingS670 3.5 × 151BFrontal (contralateral)
    7/59/MR C5 stenosis7001027 dPTA, stentingGateway 3.0 × 15, Bx-Velocity 3.5 × 131BFrontal
    8/62/MR C5 stenosis6010619 dPrimary stentingNIR 4.0 × 9.05ANot applicable
    9/74/MR C5 stenosis6801526 dPTA, stentingGateway 3.5 × 9.0, Bx-Velocity 4.5 × 181CFrontal, basal ganglia
    10/76/ML C4 stenosis60099 yPrimary stentingS670 4.0 × 12.01ANot applicable
    11/76/M
        Procedure 1R M1 stenosis704077 dPTAGateway 2.0 × 12, 2.5 × 121ANot applicable
        Procedure 2R M1 restenosis6010796 dPTAGateway 2.5 × 121BParietal
    12/68/ML M1 restenosis671091 yPTARanger 1.5 × 20, 2.0 × 201ANot applicable
    13/65/MR M1 stenosis8020729 dPTAFas stealth 2.0 × 105ANot applicable
    14/64/FR M1 stenosis7030641 dPTARanger 2.0 × 20, 2.5 × 201ANot applicable
    15/56/ML M1-2 stenosis802049 dPTAFas stealth 2.0 × 102ANot applicable
    16/77/ML M1 stenosis8040611 dPTAGateway 2.0 × 121ANot applicable
    • Note.—No new deficits were observed.

    • * Dimensions are in millimeters.

    • † Type A is no hyperintensities; type B, a single lesion; and type C, multiple lesions.

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American Journal of Neuroradiology: 26 (2)
American Journal of Neuroradiology
Vol. 26, Issue 2
1 Feb 2005
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Cite this article
Tomoyuki Tsumoto, Tomoaki Terada, Mitsuhiro Tsuura, Hiroyuki Matsumoto, Osamu Masuo, Hiroo Yamaga, Toru Itakura
Diffusion-Weighted Imaging Abnormalities after Percutaneous Transluminal Angioplasty and Stenting for Intracranial Atherosclerotic Disease
American Journal of Neuroradiology Feb 2005, 26 (2) 385-389;

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Diffusion-Weighted Imaging Abnormalities after Percutaneous Transluminal Angioplasty and Stenting for Intracranial Atherosclerotic Disease
Tomoyuki Tsumoto, Tomoaki Terada, Mitsuhiro Tsuura, Hiroyuki Matsumoto, Osamu Masuo, Hiroo Yamaga, Toru Itakura
American Journal of Neuroradiology Feb 2005, 26 (2) 385-389;
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Cited By...

  • Incidence and Risk Factors for Diffusion-Weighted Imaging (+) Lesions After Intracranial Stenting and Its Relationship With Symptomatic Ischemic Complications
  • Treatment of a intracranial stenosis with a vulnerable plaque under proximal flow reversal with balloon angioplasty and stent placement
  • Reporting standards for angioplasty and stent-assisted angioplasty for intracranial atherosclerosis
  • A Systematic Review on Outcome After Stenting for Intracranial Atherosclerosis
  • Reporting Standards for Angioplasty and Stent-Assisted Angioplasty for Intracranial Atherosclerosis
  • US Multicenter Experience With the Wingspan Stent System for the Treatment of Intracranial Atheromatous Disease: Periprocedural Results
  • Advances in Interventional Neuroradiology 2005
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