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Neurosurgery. 1999 Oct;45(4):925-30; discussion 930-1.

Percutaneous transluminal angioplasty and stenting of midbasilar stenoses: three technical case reports and literature review.

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1
Department of Neurosurgery, University of Texas Southwestern Medical Center, Dallas, USA.

Abstract

OBJECTIVE AND IMPORTANCE:

Symptomatic basilar artery stenosis is a highly morbid disease process. Recent technological and pharmaceutical advances make endovascular treatment of this disease process possible.

CLINICAL PRESENTATION:

We report three cases of patients with a symptomatic basilar artery stenosis despite anticoagulation.

INTERVENTION:

All patients were successfully treated with a flexible coronary stent and perioperative antiplatelet medications without incident. Poststenting angiography demonstrated a normal-caliber artery with patent perforators. In one case, a poststenting cerebral blood flow study revealed improved perfusion.

CONCLUSION:

A new generation of stents and balloons makes access to intracranial intradural arterial pathological abnormalities possible. Such devices may well revolutionize the management of ischemic and hemorrhagic intracranial cerebrovascular disease.

[Indexed for MEDLINE]

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