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Long-term outcome of endovascular stenting for symptomatic basilar artery stenosis

From the Divisions of Neurovascular Service (Drs. Yu, Smith, Singh, and Ko) and Neurointerventional Radiology (Drs. Cullen, Dowd, Halbach, and Higashida), University of California at San Francisco.

Address correspondence and reprint requests to Dr. Wengui Yu, Neurocritical Care and Neurovascular Service, University of California at San Francisco, 505 Parnassus Avenue, Box 0114, San Francisco, CA 94143; e-mail: WYU_1998{at}yahoo.com

Eighteen patients underwent stenting for symptomatic basilar artery stenosis. There were three major periprocedural complications (16.7%) without fatality. At a mean 26.7 ± 12.1-month follow-up, 15 patients (83.3%) had an excellent long-term outcome. Only one patient (5.6%) had moderate disability from recurrent stroke, and two patients died of medical illness at 30 and 36 months after stenting. In this uncontrolled study, stenting appeared to be effective in reducing stroke risk and death and worthy of further scrupulous trial.

Received June 25, 2004. Accepted in final form December 14, 2004.

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