Yue Wan
Zhongshan Hospital affiliated to Wuhan University, China
Title: Revascularization of symptomatic chronic middle cerebral artery occlusion
Biography
Biography: Yue Wan
Abstract
Acute intracranial artery occlusion in opening has been recognized and writing guide, but the intracranial artery chronic complete occlusion of natural history is not yet clear. Intervention from intracranial artery stenosis stent treatment without confirmation under the background of medical evidence, intracranial artery more cautious in interventional treatment of chronic complete occlusion. But symptomatic intracranial artery chronic complete occlusion is easy to break out repeatedly degradation, poor prognosis, durg treatment, effect is poor. Five patients with chronic middle cerebral artery occlusions who have recurrent ischemic symptoms despite maximal medical therapy, treatment options are limited. Due to concerns about the safety of endovascular revascularization of these occlusions and the technical skills required, these procedures have not been widely performed. We report five patients with successful revascularization of the chronic middle cerebral artery occlusion, one by angioplasty only, and otherc by stenting, with continued demonstration of vessel patency on follow up. Revascularization is technically feasible and can be considered an option for carefully selected patients with recurrent ischemic symptoms despite maximal medical therapy.