Endovascular Stenting of an Acutely Thrombosed Basilar Artery: Technical Case Report and Review of the Literature

Endovascular Stenting of an Acutely Thrombosed Basilar Artery: Technical Case Report and Review... AbstractOBJECTIVE 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 3re discussed. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

Endovascular Stenting of an Acutely Thrombosed Basilar Artery: Technical Case Report and Review of the Literature

Endovascular Stenting of an Acutely Thrombosed Basilar Artery: Technical Case Report and Review of the Literature

usually initially treated m edically using Endovascular Stenting of an Acutely antiplatelet agents an d / or a n tico a g u la ­ tion therapy. For the subset of patients Thrombosed Basilar Artery: Technical for w hom medical m a n a g e m e n t fails and for those w ho present with basilar Case Report and Review of the Literature artery occlusion as an em erg en cy , the therapeutic options are limited. The re­ sults of surgical bypass grafting for b a si­ lar artery n arro w in g or occlusion are Constantine C. Phatouros, M .B.B.S., F.R.A.C.R., disap p ointing (25), especially if the Randall T. Higashida, M.D., Adel M. Malek, M.D., Ph.D., grafting is perform ed during an episode Wade S. Smith, M.D., Ph.D., Thaddeus W . Mully, M.D., of ischemia. Successful translum inal a n ­ gioplasty of the basilar artery w as first Stephen J. DeArmond, M.D., Ph.D., reported in 1980 by Su n d t et al. (25); Christopher F. Dowd, M.D., Van V. Fialbach, M.D. how ever, the bod y of data rem ains Department of Radiology, Division of Interventional Neurovascular Radiology (CCP, RTH, small. W hen angiop lasty is unsuccessful AMM, CFD, W H ) , and Departments of Neurological Surgery (RTH, CFD, W H ) , Neurology in relieving stenosis, the treatm ent o p ­ (WSS), and Neuropathology (T W M , S)D), University of California San Francisco Medical tions are essentially exhausted. E n d o ­ Center, San Francisco, California vascular stent p lacem ent has been su c ­ cessfully used in the treatm ent of a th erom atou s plaque in the coronary and peripheral arteries, and a recent re­ OBJECTIVE AND IMPORTANCE: The goal of this report was to describe the port described the first successful p ercu ­ successful percutaneous endovascular use of a Gianturco-Roubin-2 cor­ taneous en d o vascu lar d ep lo y m e n t of a onary stent in the treatment of an acute atherothrombotic occlusion of stent within the basilar artery (15). W e the basilar artery. To our...
Loading next page...
 
/lp/ou_press/endovascular-stenting-of-an-acutely-thrombosed-basilar-artery-OR0l10iMou
Publisher
Congress of Neurological Surgeons
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199903000-00134
Publisher site
See Article on Publisher Site

Abstract

AbstractOBJECTIVE 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 3re discussed.

Journal

NeurosurgeryOxford University Press

Published: Mar 1, 1999

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial