Balloon angiopLasty for Intracranial Atherosclerotic Minor Stroke/TIA: a Prospective, Multi-center, Register Study
The objective of this study was to evaluate the safety and efficacy of early submaximal balloon angioplasty combined with medical therapy vs medical therapy alone for minor stroke/transient ischemic attack with intracranial atherosclerosis etiology.
• age range of 30-80 years;
• symptomatic ICAS (C4-C7 segments of ICA, M1 segment of the MCA, V4 segment of the VA, and BA) with 70%-99% stenosis confirmed by DSA;
• minor stroke (NIHSS score ≤5) within 1 week of onset or from symptom exacerbation (NIHSS score increased by ≥2 points) or intermediate- to high-risk TIA, defined as ABCD2 score ≥4 within 1 week of the last symptom episode;
• diameter of the culprit artery ranging from 2.0 to 4.5mm, and the length of the stenosis≤14mm;
• mRS ≤ 2 before endovascular treatment;
• no large ischemic region found on CT or MRI (ASPECTS≥ 6 or pc-ASPECTS ≥8);
• written informed consent obtained from the patient or legally responsible person.