Abstract:

Objective: It is aimed to discuss the indications, technical success, reliability and efficacy of endovascular stent therapy in patients with vertebral artery stenosis.Material and Methods: A total of 10 patients 3 females, 7 males who underwent endovascular stent with vertebral artery stenosis between June 2012 and December 2018 were evaluated retrospectively. The mean age of the patients was 63.9 years range: 47-78 years . Endovascular stent treatment was performed according to the symptoms, clinical history and degree of vertebral artery stenosis obtained by digital subtraction angiography. The procedures were performed under local anesthesia.Results: In nine patients included in the study 90% , stenosis more than 50% of the vertebral artery origin V0 and proximal V1 were detected and the mean stenosis rate was calculated as 65%. In a patient with stenosis under 50%, covered stent was applied due to compression and invasion caused by head and neck mass. The distal protection device was used in only one patient due to the presence of soft plaque in the subclavian artery. The mean stent length and diameter were 21.8 mm range: 12-39 mm and 4.5 mm range: 4-6 mm , respectively. After the procedure, adequate luminal patency was achieved in all patients and the technical success was accepted as 100%.Conclusion: In conclusion, endovascular treatment of vertebral artery stenosis is a safe and effective treatment method with low complication rates and high technical success especially in patients with failed or insufficient medical treatment