Document Detail


Use of far field basilar artery stenting for recurrent middle cerebral artery ischemia.
MedLine Citation:
PMID:  21990791     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Intracranial artery angioplasty and stenting are generally performed for ipsi-territory stroke prevention in stenotic disease; however, few options exist for chronic occlusion of a proximal feeding vessel. In such circumstances intracranial angioplasty and stenting of a neighboring vascular field may improve collateral flow to the territory of the occluded vessel. A case of basilar artery (BA) stenting is presented, performed to improve collateral flow in a man experiencing recurrent middle cerebral artery (MCA) strokes, despite superior temporal artery (STA)-MCA bypass for internal carotid artery occlusion. Following BA stenting, the patient had complete cessation of MCA ischemia and improved cerebrovascular reserve by single photon emission CT. BA stenting was found to be a safe and effective means of improving collateral flow to mitigate recurrent MCA infarctions. Far field interventions should be considered in selected patients who fail other treatments.
Authors:
W Lee Titsworth; A Cahid Civelek; Alex Abou-Chebl
Publication Detail:
Type:  Journal Article     Date:  2010-10-04
Journal Detail:
Title:  Journal of neurointerventional surgery     Volume:  3     ISSN:  1759-8486     ISO Abbreviation:  J Neurointerv Surg     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-10-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101517079     Medline TA:  J Neurointerv Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  57-61     Citation Subset:  IM    
Affiliation:
Department of Anatomical Sciences and Neurobiology, University of Louisville School of Medicine, Louisville, Kentucky, USA.
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