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Titolo:
Angioplasty and stenting of basilar artery stenosis: Technical case report
Autore:
Lanzino, G; Fessler, RD; Miletich, RS; Guterman, LR; Hopkins, LN;
Indirizzi:
SUNY Buffalo, Dept Neurosurg, Sch Med & Biomed Sci, Buffalo, NY 14209 USA SUNY Buffalo Buffalo NY USA 14209 Med & Biomed Sci, Buffalo, NY 14209 USA SUNY Buffalo, Dent Neurol Inst, Sch Med & Biomed Sci, Buffalo, NY 14209 USA SUNY Buffalo Buffalo NY USA 14209 Med & Biomed Sci, Buffalo, NY 14209 USA
Titolo Testata:
NEUROSURGERY
fascicolo: 2, volume: 45, anno: 1999,
pagine: 404 - 407
SICI:
0148-396X(199908)45:2<404:AASOBA>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY; INTERNAL CAROTID-ARTERY; VERTEBROBASILAR INSUFFICIENCY; COIL PLACEMENT; ANEURYSM; DISEASE; IMPLANTATION; EFFICACY; SAFETY;
Keywords:
basilar artery stenosis; brain single-photon emission computed tomographic scan; intravascular stents; percutaneous angioplasty;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Hopkins, LN SUNY Buffalo, Dept Neurosurg, Sch Med & Biomed Sci, 3 Gates Circle, Buffalo, NY 14209 USA SUNY Buffalo 3 Gates Circle Buffalo NY USA 14209 NY 14209 USA
Citazione:
G. Lanzino et al., "Angioplasty and stenting of basilar artery stenosis: Technical case report", NEUROSURGER, 45(2), 1999, pp. 404-407

Abstract

OBJECTIVE AND IMPORTANCE: Symptomatic basilar artery stenosis has a poor prognosis. Treatment options are limited. Surgical bypasses are technically demanding and of no proven benefit. Percutaneous angioplasty is associated with a significant complication rate, because of intraplaque dissection, restenosis secondary to vessel recoil, and embolic phenomena. A new generation of intravascular stents that are flexible enough to navigate the tortuosities of the vertebral artery may provide a new therapeutic approach. We report a case of basilar artery stenosis that was treated using stent-assistedangioplasty. CLINICAL PRESENTATION: A 56-year-old woman experienced a vertebrobasilar ischemic stroke, from which she recovered. Magnetic resonance angiography revealed severe proximal basilar artery stenosis. Brain Neurolite-single-photon emission computed tomographic scans revealed significantly decreased perfusion of the brainstem. Endovascular intra-arterial pressure measurements revealed a 35-mm Hg gradient across the lesion. INTERVENTION: The patient underwent uncomplicated angioplasty and stentingof the proximal basilar artery, with excellent angiographic results. CONCLUSION: The availability of new flexible intravascular stents, allowing access to tortuous proximal intracranial vessels, provides a new therapeutic approach for patients with basilar artery stenosis. Long-term follow-upmonitoring is required to assess the durability of this approach.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/09/20 alle ore 18:12:01