Percutaneous transluminal angioplasty and stenting of midbasilar stenoses: Three technical case reports and literature review

Michael B. Horowitz, G. Lee Pride, Dion F. Graybeal, Phillip D. Purdy

Research output: Contribution to journalArticlepeer-review

58 Scopus citations

Abstract

OBJECTIVE AND IMPORTANCE: Symptomatic basilar artery stenosis is a highly morbid disease process. Recent technological and pharmaceutical advances make endovascular treatment of this disease process possible. CLINICAL PRESENTATION: We report three cases of patients with a symptomatic basilar artery stenosis despite anticoagulation. INTERVENTION: All patients were successfully treated with a flexible coronary stent and perioperative antiplatelet medications without incident. Poststenting angiography demonstrated a normal-caliber artery with patent perforators. In one case, a poststenting cerebral blood flow study revealed improved perfusion. CONCLUSION: A new generation of stents and balloons makes access to intracranial intradural arterial pathological abnormalities possible. Such devices may well revolutionize the management of ischemic and hemorrhagic intracranial cerebrovascular disease.

Original languageEnglish (US)
Pages (from-to)925-931
Number of pages7
JournalNeurosurgery
Volume45
Issue number4
DOIs
StatePublished - Oct 1999

Keywords

  • Basilar artery
  • Stenosis
  • Stent

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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