Document Detail


Stenting for symptomatic high-grade basilar artery stenosis
MedLine Citation:
PMID:  19877555     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Stenosis of brain vessels in 5-10% of cases causes ischemic disesase of the brain. Atherosclerosis is a cause of stenosis in 95% of cases. Patients with basilar artery stenosis and recurrent ischemic attacks are candidate for stroke in 50% of cases in the first two years. CASE REPORT: A 48-year old man presented with a 12-month history of transitory ischemic attacks, periodical loss of vision and balance disorder. Diagnostic cerebral angiography performed by MSCT revealed annular stenosis of basilar artery (85%). Digital subtraction angiography (DSA) confirmed dimensions, grade and localisation of stenosis. Endovascular stenting was performed in general anesthesia. The first step of procedure was preliminary balloon angioplasty and after that self-expandable stent (diameter of 3.0 mm, length of 12 mm) was placed. Check angiogram after stenting confirmed complete dilatation of basilar artery stenosis. CONCLUSION: Combination of balloon angioplasty and self-expandable stenting made possible non-surgical treatment of simptomatic basilar artery stenosis.
Authors:
Slobodan Culafić; Novak Lakićević; Miodrag Mihajlović; Dara Stefanović; Milan Spaić
Publication Detail:
Type:  Case Reports; English Abstract; Journal Article    
Journal Detail:
Title:  Vojnosanitetski pregled. Military-medical and pharmaceutical review     Volume:  66     ISSN:  0042-8450     ISO Abbreviation:  Vojnosanit Pregl     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-11-02     Completed Date:  2009-12-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  21530700R     Medline TA:  Vojnosanit Pregl     Country:  Serbia    
Other Details:
Languages:  srp     Pagination:  744-8     Citation Subset:  IM    
Affiliation:
Vojnomedicinska akademija, Institut za radiologiju, Beograd, Srbija.
Vernacular Title:
Stenting simptomatske visokogradusne stenoze bazilarne arterije.
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MeSH Terms
Descriptor/Qualifier:
Angiography, Digital Subtraction
Angioplasty, Balloon
Basilar Artery / radiography
Cerebral Angiography
Humans
Ischemic Attack, Transient / etiology
Male
Middle Aged
Stents*
Vertebrobasilar Insufficiency / complications,  radiography,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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