Stent-assisted angioplasty for intracranial atherosclerosis.

Abstract

We report on two patients with intracranial atherosclerosis of the carotid artery or vertebral artery treated with stent-assisted angioplasty. Both patients have severe intracranial atherosclerosis (>70%) with refractory symptoms despite optimal medical treatment. In both patients, a coronary balloon-expandable stent was successfully placed using a protective balloon technique without procedural complications. The patients were asymptomatic and neurologically intact at a mean clinical follow-up of 13 months. Follow-up angiograms did not show restenosis 3 or 4 months after procedure, respectively. Stent-assisted angioplasty for intracranial atherosclerosis in the elective patient has proven effective, with an acceptable low rate of morbidity and mortality.

• Authors: Toshinori Nakahara, Shigeyuki Sakamoto, Osamu Hamasaki, Katsuaki Sakoda
• Journal: Neuroradiology (Neuroradiology) Vol. 44 Issue 8 Pg. 706-10 (Aug 2002) ISSN: 0028-3940 [Print] Germany
• PMID: 12185550 (Publication Type: Case Reports, Journal Article)

Topics

• Angioplasty
• Cerebral Angiography
• Follow-Up Studies
• Humans
• Intracranial Arteriosclerosis (diagnostic imaging, surgery, therapy)
• Male
• Middle Aged
• Stents
• Time Factors