Journal of Neurology Research, ISSN 1923-2845 print, 1923-2853 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Neurol Res and Elmer Press Inc
Journal website http://www.neurores.org

Original Article

Volume 2, Number 5, October 2012, pages 181-188


Utility of Antiplatelet Therapy With Ticlopidine in Patients Refractory to Clopidogrel for Intracranial Stenting: A Single Institution Experience

Figure

Figure 1.
Figure 1. (a). Pre-intervention angiogram (cranial anteroposterior (AP) view) demonstrating stenosis of the mid-basilar artery; (b). Post-intervention angiogram (cranial AP view) demonstrating an increased caliber of the vessel after stent placement; (c). Six-month follow-up angiogram (cranial AP view) demonstrating significant remodeling and patency of the basilar artery at the level of the stent.

Table

Table 1. Summary of Patients in the Current Study
 
PatientSexLesionLocationAneurysm SizeStenosis SizeDevice UsedAntiplatelet ProblemFollow Up Duration
ICA: internal carotid artery; M1: proximal middle cerebral artery segment; A1: proximal anterior cerebral artery segment; PCoA: posterior communicating artery; * Included Case Summaries.
1FStenosisLeft ICA-M1/A1n/a10 mm proximal left M1 stenosis (75% occluded)Wingspan Stent; Boston Scientific (Natick, MA)Sub-theraputic clopidogrel6 months
2FStenosisLeft M1-M2n/a6 mm distal left M1-M2 stenosis (75% occluded)Wingspan Stent; Boston Scientific (Natick, MA)Sub-theraputic clopidogrel6 months
*3FStenosisMid-basilarn/a10 mm midbasilar (90% occluded)Wingspan Stent; Boston Scientific (Natick, MA)Sub-theraputic clopidogrel6 months
4FStenosisLeft ICAn/a15 mm left ICA stenosis (80% occluded)Acculink Stent; Abbott Laboratories (Abbott Park, IL)Sub-theraputic clopidogrelLess than 3 months
5MStenosisRight ICAn/a14 mm left ICA stenosis (90% occluded)Acculink Stent; Abbott Laboratories (Abbott Park, IL)Sub-theraputic clopidogrelLess than 3 months
*6MAneurysmBasilar tip5 mm wide neck, left PCA P1 segmentn/aNeuroform Stent; Boston Scientific (Natick, MA)Sub-theraputic clopidogrel6 months
7FAneurysmRight PCoA8 mm × 5 mm right PCoAn/aEnterprise Stent; Cordis Corporation (Bridgewater, NJ)Sub-theraputic clopidogrel10 months