Vertebral Artery Stenosis
Conditions
Keywords
Vertebral Artery Stenosis, Drug-coated balloon angioplasty, Stenting
Brief summary
Posterior circulation stroke accounts for 20% of ischemic stroke. A quarter occurs in patients with stenosis in the vertebral and/or basilar arteries. Vertebral artery stenosis can be treated with stenting. However, in-stent restenosis rate have been reported as high as more than 30%, which may reduce the effect of stent therapy. Drug-coated balloon has shown good results in controlling neointimal hyperplasia in the femoral and popliteal arteries.
Interventions
Angioplasty with a drug-coated angioplasty
Angioplasty with a stenting
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 years or older * Patients presenting with posterior circulation transient ischemic attack or nondisabling stroke in the previous 6 months * Vertebral artery origin stenosis resulting from presumed atheromatous disease with stenosis ≥50% * Lesion length of the stenosis \>5mm. * Angioplasty can be performed within two weeks after randomization * Female subjects of childbearing potential have a negative pregnancy test. * Signed informed consent prior to entering study
Exclusion criteria
* Potential cause of TIA or minor stroke other than stenosis in a vertebral artery (e.g. atrial fibrillation) * Life expectancy shorter than 2 years * Vertebral artery stenosis caused by dissection * Vertebral stenting felt to be technically impracticable * Previous stenting in randomized artery * Pre-morbid modified Rankin scale score of greater than 3 * Currently participating or previously participated in any investigational drug or device study within 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Restenosis | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| The composite of vascular death, myocardial infarction, or any stroke | within 30 days after the start of treatment |
| Death resulting from any cause | 12 months |
| Stroke in the supply territory of the symptomatic vertebral artery | 12 months |
Other
| Measure | Time frame |
|---|---|
| Serious adverse events | 30 days |
Countries
China