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العنوان
Safety and Early Outcome of Balloon Expandable Stent in Intracranial Stenosis /
المؤلف
Ali, Karim Abdo Hashim.
هيئة الاعداد
باحث / كريم عبده هاشم علي
مشرف / نيرمين علي حمدي
مشرف / احمد علي ابراهيم البسيوني
مشرف / رشا نادي صالح
الموضوع
Cerebrovascular disease.
تاريخ النشر
2022.
عدد الصفحات
70 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب النفسي والصحة العقلية
تاريخ الإجازة
1/1/2022
مكان الإجازة
جامعة المنيا - كلية الطب - الأمراض العصبية والنفسية
الفهرس
Only 14 pages are availabe for public view

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from 82

Abstract

Intracranial atherosclerotic illness (ICAD) is a main source of ischemic stroke around the world. Risk factors for suggestive and asymptomatic ICAD incorporate age, Asian and dark race, hypertension, diabetes mellitus, hyperlipidemia, metabolic disorder, stationary way of life, and smoking. The components of stroke in ICAD incorporate course to-supply route embolization, perforator illness, and disabled distal perfusion.
Throughout the long term, progresses in conclusion and therapy of ICAD have prompted a decrease in stroke rates, yet the gamble of stroke repeat stays raised coming to as high as 12% in the main year in spite of ideal clinical treatment. Consequently, further developing stroke anticipation strategies is basic.
These days, the fundamental therapies for the intracranial stenosis incorporate clinical treatment, percutaneous transluminal angioplasty (PTA) or percutaneous transluminal angioplasty and stenting (PTAS), and careful intercession. However, the ideal treatment stays dubious. There was a high pace of the stroke in the patients with MCA stenosis, even with the ideal clinical treatment.
Stent situation was guaranteed to be protected and productive. These days, there are two sorts stents utilized in intracranial atherosclerotic stenosis, one is self-expandable stent (SES), and the other is swell expandable stent (BES). On account of the adaptability of the SES, its use was more far reaching. In any case, the SAMMPRIS preliminary and the VISSIT preliminary uncovered the adverse outcomes. As of late, the wellbeing and adequacy were guaranteed once more.
Presently, oneself extending Wingspan stent (Boston Logical) is the main gadget endorsed by the Food and Medication Organization (FDA) for use in patients with atherosclerotic intracranial blood vessel stenosis; it has been accessible starting around 2005 for the treatment of patients with 50 to close to 100% stenosis who have had a TIA or stroke while getting antithrombotic treatment.
In the beginning phases of intracranial stent arrangement, most balloonmounted stents used to treat suggestive ICAS patients were coronary stents, which were not intended for intracranial vasculature and in this way were hard to convey through the convoluted cervical and intracranial vasculature. With the headway of intracranial stents, different sorts of intracranial inflatable mounted stents have been created for the treatment of suggestive ICAS.
The point of this study was appraisal of the wellbeing and momentary result of the utilization of inflatable expandable stent in intra cranial stenosis.
The consequences of our current review can be summed up as follows:
In the current review in regards to kind of expandable stent in intracranial, there were 18 (60.0%) cases were Intracranial stent and 12 (40.0%) were Intracranial stenosis.
No intracerebral discharge happened among our cases.
In this study in regards to the Stroke before release results, there were 1 (3.3%) patient passed on by mind stem following day and 29 (96.7%) patients with No Stroke.
In this review, the typical NIHSS before activity in Intracranial stent bunch were; 7.28 ± 3.12, while normal NIHSS before activity in Intracranial stenosis bunch were 7.08 ± 1.93, the normal NIHSS following one month in Intracranial stent bunch were; 5.72 ± 2.24, while normal NIHSS following one month in Intracranial stenosis bunch were 7.08 ± 1.93, In Intracranial stent bunch; 5.6% of them showed restraint passed on after method and 94.4% were Stroke, while the Intracranial stenosis bunch; 100.0% of them were Stroke. There was no genuinely tremendous contrast between Intracranial stent Gathering and Intracranial stenosis Gathering in regards to NIHSS before activity, NIHSS following one month and Sign.
That’s what the ongoing review showed, there was no genuinely massive distinction between Intracranial stent Gathering and Intracranial stenosis Gathering in regards to Sign of Stenting, Time from stroke to stenting in days.
That’s what the ongoing review showed, in Intracranial stent bunch; 94.4% of them had no Stroke preceding release and 5.6% of patients passed on by mind stem in following day, while the Intracranial stenosis bunch; 100.0% of them had no Stroke before release. There was no genuinely huge contrast between Intracranial stent Gathering and Intracranial stenosis Gathering in regards to Stroke preceding release.
In this review, the Back course brings about Intracranial stent bunch; 33.3% of them were basilar supply route and 22.3% were vertebral vein, while the intracranial stenosis bunch; 16.7% of them were basilar corridor and 25.0% were vertebral conduit. For the Front flow In Intracranial stent bunch; 16.7% of them were Supra clinoid part of the carotid, 5.6% were Petrous piece of the carotid, 11.1% were Caveronous part of the carotid and 16.7% were Center cerebral conduit, while the Intracranial stenosis bunch; 33.3% of them were Supra clinoid part of the carotid, 8.3 were Petrous piece of the carotid, and 8.3% were Center cerebral vein, Separately. There was no measurably massive contrast between Intracranial stent Gathering and Intracranial stenosis Gathering in regards to Basilar supply route, Vertebral course, Supra clinoid part of the carotid, Petrous piece of the carotid, Caveronous part of the carotid and Center cerebral corridor.