Severe vertebral artery stenosis treated by directional atherectomy

• Main Authors: Yongquan Gu, Jianming Guo, Lianrui Guo, Shijun Cui, Hanaa-Dakour Aridi, Mahmoud B Malas, Zhu Tong, Yixia Qi, Lixing Qi
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2018-01-01
• Series: Vascular Investigation and Therapy
• Subjects: atherectomy; atherosclerosis; endovascular; outcomes; vertebral artery stenosis
• Online Access: http://www.vitonline.org/article.asp?issn=2589-9686;year=2018;volume=1;issue=3;spage=110;epage=114;aulast=Gu

We report the outcomes of directional atherectomy using a distal protective device and drug-coated balloon angioplasty in four patients with severe atherosclerotic vertebral artery stenosis. All cases were clinically successful with complete resolution of the symptoms. Immediate and postoperative results showed a good technical success. These results suggest that vertebral artery stenosis treated with directional atherectomy is technically feasible and may be a safe and effective option when performed by experienced endovascular surgeons.