• DIAGNOSTIC VALUE OF COLOR-CODED DUPLEX SONOGRAPHY IN CLINICAL CASES WITH RESTENOSIS OF ARTERIAL RECONSTRUCTIONS AT SUPRA-AORTIC ARTERIES AND TAKAYASHU ARTERIITIS

    M. Staneva 1, V. Chervenkoff 1, B. Minkova 1, G. Kirova 2, D. Markov 1, Ts. Tsvetanov 1, P. Antova 1
    1 Department of Vascular Surgery and Angiology,
    2 Department of Radiology, Tokuda Hospital – Sofia, Bulgaria

    Objective: Takayashu arteriitis (TA) is a necrotizing and obliterative segmental, large-vessel panarteriitis of unknown cause, involving elastic arteries including tha aortic arch and its branches.The disease has a strong female predilection with peak incidence in the third decade of life. Two specific forms are reported in the literature – Japanease,involving the thoracic aorta and its branches and Indian, affecting the abdominal aorta and renal arteries.

    Case Reports: We present two clinical cases-patients are over 50 years of age after vascular reconstruction of supra-aortic arteries with risk factors for atherosclerosis - arterial hypertension, dyslipidemia, stress, family history. Due to recurrence of symptoms after a clinical exam and Color-coded Duplex Ultrasound (CDU) was performed and restenosis of the arterial reconstructions was found. On this occasion Multidetector Computed Tomography (MDCT) of supra-aortic cerebral arteries was performed.

  • CLINICAL AND VASCULAR FOLLOW UP OF SYMPTOMATIC INTRACRANIAL STENOSIS STENTING

    C. Vetta 1, S. Horner 1, H. Deutschmann 2, T. Gattringer 1, K. Niederkorn 1
    1 Department of Neurology,
    2 Department of Radiology, Medical University – Graz, Austria

    Objective: Stenoses of intracranial arteries (IAS)are responsible for 10% - 15% of all ischemic strokes.The purpose of the present study was to retrospectively identify the outcome of endovascular treatments of IAS with Stent-PTA performed at the University Hospital Graz during the period of 2003 to 2012.

    Material and Methods: Data from all patients who underwent interventional procedures during the period 2003–2012, caused by a symptomatic (transient ischemic attack or stroke) stenosis of a major intracranial artery, were extracted from a stent data base. Technical success, clinical outcome, the rate of instent restenosis (ISR) and recurrent stroke as well as prognosis were defined as primary objectives. Examinations were at 24 hours and 6 months after the procedure, as well as the last consultation of the stroke outpatient clinic.