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Endovascular Stenting of an Acutely Thrombosed Basilar Artery: Technical Case Report and Review of the Literature
- Source :
- Neurosurgery. 44:667-673
- Publication Year :
- 1999
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 1999.
-
Abstract
- OBJECTIVE AND IMPORTANCE: The goal of this report was to describe the successful percutaneous endovascular use of a Gianturco-Roubin-2 coronary stent in the treatment of an acute atherothrombotic occlusion of the basilar artery. To our knowledge, the percutaneous endovascular deployment of an intra-arterial stent for the treatment of an acute atherothrombotic occlusion of the basilar artery and the percutaneous endovascular placement of a Gianturco-Roubin-2 stent in the basilar artery have not been previously reported. CLINICAL PRESENTATION: An 83-year-old man presented with a recurrent, transient, locked-in syndrome resulting from a lower basilar artery occlusion caused by vertebrobasilar thrombosis superimposed on severe proximal basilar artery atheromatous stenosis. INTERVENTION: After successful superselective intra-arterial thrombolysis of the vertebrobasilar clot, balloon angioplasty of the underlying basilar artery stenosis was performed, without significant angiographic improvement. Percutaneous endovascular deployment of a Gianturco-Roubin-2 coronary stent of 4-mm diameter was subsequently performed, with excellent angiographic results. CONCLUSION: The patient made a very good neurological recovery but unfortunately died as a result of cardiogenic shock and sepsis. Detailed neuropathological follow-up results are presented; stent patency was revealed in the postmortem examination. The anatomic and pathophysiological considerations of basilar artery stent placement for the treatment of acute basilar artery occlusion related to atherosclerotic stenosis are discussed.
- Subjects :
- Male
medicine.medical_specialty
Percutaneous
medicine.medical_treatment
Quadriplegia
Fatal Outcome
medicine.artery
Angioplasty
Occlusion
Coronary stent
medicine
Basilar artery
Humans
cardiovascular diseases
Aged
Aged, 80 and over
business.industry
Stent
Intracranial Embolism and Thrombosis
medicine.disease
Thrombosis
Cerebral Angiography
Surgery
Stenosis
Basilar Artery
Acute Disease
cardiovascular system
Stents
sense organs
Neurology (clinical)
Radiology
business
Angioplasty, Balloon
Subjects
Details
- ISSN :
- 15244040 and 0148396X
- Volume :
- 44
- Database :
- OpenAIRE
- Journal :
- Neurosurgery
- Accession number :
- edsair.doi.dedup.....183f9a8cd5e1f7829786ffa94b105dee