Stenting for Abrupt Closure of the Intracranial Vertebral Artery Complicating Balloon Angioplasty

Abstract

We report a case of stenting for abrupt closure of the intracranial vertebral artery complicating balloon angioplasty. A 58-year-old man with symptomatic restenosis of the intracranial vertebral artery underwent balloon angioplasty, which was complicated by acute occlusion due to wall dissection. The acute occlusion of the lesion was completely recanalized by implanting a balloon-expandable stent designed for the coronary artery. Follow-up angiography 15 months after stenting did not show severe restenosis and the patient's symptoms disappeared after stenting. This therapeutic option may be useful as a means to bail out from acute occlusion of the intracranial artery caused by endovascular procedures.

Keywords

stent intracranial vertebral artery acute occlusion

Get full access to this article

View all access options for this article.

References

Al-Mubarak

Gomez

: Stenting of Symptomatic Stenosis of the Intracranial Internal Carotid Artery. Am J Neuroradiol 19: 1949–951, 1998.

Castrati

Schomig

: Predictive factors of restenosis after coronary stent placement. J Am Coll Cardiol 30: 1428–1436, 1997.

Dorros

Cohn

Palmer

: Stent deployment resolves a petrous carotid artery angioplasty dissection. Am J Neuroradiol 19: 392–394, 1998.

Feldman

Trigg

: Use of coronary Palmaz-Shatz stent in the percutaneous treatment of an intracranial carotid artery stenosis. Cathet Cardiovasc Diagn 38: 316–319, 1996.

George

Voorhess

: Multicenter investigation of coronary stenting to treat acute or threatened closure after percutaneous transluminal coronary angioplasty: Clinical and angiographic outcomes. J Am Coll Cardiol 22: 135–143, 1993.

Herrmann

Buchbinder

: Emergent use of balloon-expandable coronary artery stenting for failed percutaneous transluminal coronary angioplasty. Circulation 86: 812–819, 1992.

Higashida

Tsai

: Transluminal angioplasty for atherosclerotic disease of the vertebral and basilar arteries. J Neurosurg 78: 192–198, 1993.

Kuntz

Safian

: The importance of acute luminal diameter in determining restenosis after coronary atherectomy or stenting. Circulation 86: 1827–1835, 1992.

Mori

Kazita

: Successful cerebral artery stent placement for total occlusion of the vertebrobasilar artery in a patient suffering from acute stroke. J Neurosurg 90: 955–958, 1999.

10.

Rasmussen

Perl

II : Stent-assisted angioplasty of intracranial vertebrobasilar atherosclerosis: An initial experience. J Neurosurg 92: 771–778, 2000.

11.

Terada

Higashida

: Transluminal angioplasty for arteriosclerotic disease of the distal vertebral and basilar arteries. J. Neurol. Neurosurg Psych 60: 337–381, 1996.

12.

Wholey

: Current Global Status of Carotid Artery Stent Placement. Cathet Cardiovasc Diagn 44: 1–6, 1998.

13.

Wong

Baim

: Immediate results and late outcomes after stent implantation in saphenous vein graft lesions: The multicenter U.S. Palmaz-Shatz stent experience. J Am Coll Cardiol 26: 704–712, 1995.