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Date Published: 12/12/2025
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DOI: https://doi.org/10.51298/vmj.v556i2.16435
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Vol. 556 No. 2 (2025)
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Phạm, Đình Đài, & Đặng, M. Đức. (2025). INTRACRANIAL STENTING IN THE ENDOVASCULAR TREATMENT OF ACUTE ISCHEMIC STROKE. Vietnam Medical Journal, 556(2). https://doi.org/10.51298/vmj.v556i2.16435

INTRACRANIAL STENTING IN THE ENDOVASCULAR TREATMENT OF ACUTE ISCHEMIC STROKE

Đình Đài Phạm, Minh Đức Đặng

Main Article Content

Abstract

Background: Intracranial atherosclerotic stenosis is a common cause of ischemic stroke and often leads to large vessel occlusion (LVO), which is difficult to treat due to high re-occlusion rates. Objective: To assess the efficacy and safety of intracranial stenting in acute ischemic stroke with LVO. Methods: Retrospective study of patients treated with intracranial stenting at Military Hospital 103 from January 2024 to April 2025. Clinical data, procedural outcomes, and complications were analyzed. Results: Mean age was 61.4 years; 70.6% were male. Risk factors included hypertension (73.5%), smoking (64.7%), dyslipidemia (47.1%), and diabetes (26.5%). Lesions involved the ICA (10.9%), MCA M1 (65.9%), and MCA M2 (23.1%). Successful reperfusion increased from 8.8% to 68.5% after stenting (p < 0.05). Favorable outcome (mRS 0–2 at 90 days) occurred in 58.9%. Complications included dissection (2.9%), hemorrhagic transformation (26.5%), and subarachnoid hemorrhage (8.8%). Conclusion: Intracranial stenting is a feasible and safe rescue option for acute LVO due to atherosclerosis, improving reperfusion and functional outcomes.

Article Details

Keywords

ischemic stroke, large vessel occlusion, intracranial atherosclerosis, stenting, endovascular therapy

References

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