intracranial arterial stenosis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with intracranial atherosclerotic stenotic lesions (%DS>=50%) in the intracranial main arteries confirmed by MR angiographic findings. The target vascular lesions are as follows. 1. Internal carotid artery 2. Middle cerebral artery 3. Anterior cerebral artery 4. Posterior cerebral artery 5. Intracranial vertebral artery 6. Basilar artery
Exclusion criteria
Exclusion criteria: Case of internal medicine treatments 1. Patients with cardiogenic brain embolism 2. Whom scheduled for reconstructive surgery or endovascular treatment 3. Patients with non-atherosclerotic stenosis (artery dissection, moyamoya disease) 4. Whom considered to be difficult to follow up due to serious complications, such as brain tumor 5. Who are scheduled to remove and will be difficult to follow up 6. Who did not consent Case of endovascular treatments 1. Patients with cardiogenic brain embolism 2. Patients with non-atherosclerotic stenosis (artery dissection, moyamoya disease) 3. Whom considered to be difficult to follow up due to serious complications, such as brain tumor 4. Who are scheduled to remove and will be difficult to follow up 5. Who did not consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. 3-year incidence of progression or regression of the intracranial stenotic region 2. Occurrence of ischemic stroke in a 3-year follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Occurrence of cardiovascular events (stroke, myocardial infarction, other cardiovascular events, and vasucular death) in a 3-year follow-up 2. Occurrence of all bleeding events in a 3-year follow-up 3. Occurrence of all-causes deaths in a 3-year follow-up 4. Analysis of risk factors for progression of stenotic region 5. Analysis of risk factors for stroke and cardiovascular events 6. Occurrence of development of new stenotic lesion and analysis of its risk factors | — |
Countries
Japan
Contacts
National Hospital Organization, Kyoto Department of Neurosurgery