Thirty-Day Outcomes of the Enterprise Stent in Treating Hypoperfusion of Symptomatic Intracranial Stenosis

World Neurosurg. 2019 Sep:129:e429-e435. doi: 10.1016/j.wneu.2019.05.167. Epub 2019 May 28.

Abstract

Objective: To evaluate the 30-day outcomes of using the Enterprise stent to treat patients with hypoperfusion of symptomatic severe intracranial stenosis.

Methods: Patients with symptomatic severe intracranial stenosis (70%-99%) who underwent Enterprise stent intervention between August 2014 and November 2018 were retrospectively analyzed. The 30-day primary outcomes included the success rate of stenting and the incidence of complications, including ischemic stroke, cerebral hemorrhage, and death. The 30-day complication rates of patients with different lesion locations and classifications of Mori morphology were compared.

Results: Sixty-eight patients were treated using 70 Enterprise stents. The success rate was 100%. The 30-day complication rate was 4.4%. The rates of ischemic stroke, cerebral hemorrhage, and death were 1.5%, 2.9%, and 0%, respectively. No significant difference was found in the 30-day complication rate between patients with different lesion locations and classifications of Mori morphology (P > 0.05).

Conclusion: Enterprise stents were relatively safe in treating patients with hypoperfusion of symptomatic severe intracranial stenosis.

Keywords: Endovascular treatment; Enterprise; Intracranial arterial stenosis; Outcomes; Stent.

MeSH terms

  • Aged
  • Arterial Occlusive Diseases / complications
  • Arterial Occlusive Diseases / surgery*
  • Brain Ischemia / etiology*
  • Cerebral Hemorrhage / etiology*
  • Endovascular Procedures / adverse effects
  • Endovascular Procedures / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / etiology
  • Retrospective Studies
  • Stents*
  • Stroke / etiology*
  • Treatment Outcome