101. [Endovascular treatment of critical basilar stenosis with a Solitaire® stent device: a first experience in our centre].
- Author
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Mulero P, Cortijo-García E, Ruiz-Piñero M, Pérez-Fernández S, Arenillas-Lara JF, and Martínez-Galdámez M
- Subjects
- Aged, Cerebral Angiography, Dyslipidemias complications, Humans, Hypertension complications, Imaging, Three-Dimensional, Ischemic Attack, Transient etiology, Male, Vertebrobasilar Insufficiency complications, Vertebrobasilar Insufficiency diagnostic imaging, Angioplasty, Balloon, Stents, Vertebrobasilar Insufficiency therapy
- Abstract
Introduction: Although intracranial arteriosclerosis is an important cause of stroke, the therapeutic attitude has still not been clearly established. Hence, the SAMMPRIS study compared intensive medical treatment with angioplasty and stent placement, with outcomes favouring the pharmacological treatment. These results could be partly due to the device used (Wingspan® stent)., Case Report: A 71-year-old male with a severe stenosis of the basilar artery, who suffered repeated episodes of transient neurological focus despite being treated with antiplatelet therapy and statins. Given the circumstances, the decision was made to perform a therapeutic arteriography with angioplasty and placement of a Solitaire® stent in order to optimise results, a residual stenosis of 40% being achieved. Subsequent progress was favourable and the control tests carried out showed a minimum progression., Conclusions: As far as we know, this is the first case of critical stenosis of the basilar artery being treated by placement of a Solitaire® stent to be reported in the literature.
- Published
- 2014