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Published on: October 20, 2017

Elective stenting of symptomatic basilar artery stenosis

C R Gomez1, V K Misra, M W Liu

  • 1Department of Neurology, University of Alabama at Birmingham, 35294, USA. crgomez@uab.edu

Stroke
|January 8, 2000
PubMed

Insights

Elective stenting of the basilar artery is a safe and feasible procedure for patients with vertebrobasilar ischemia unresponsive to medical therapy. This endovascular technique significantly reduces stenosis, offering a promising alternative to traditional treatments.

Area of Science:

  • Neurology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Percutaneous angioplasty of intracranial arteries carries risks like dissection and embolization.
  • Stenting enhances angioplasty safety and durability across vascular beds.
  • Intracranial stenting has been limited by the availability of suitable intracranial stents.

Purpose of the Study:

  • To evaluate the feasibility and safety of elective basilar artery stenting in patients with vertebrobasilar ischemia.
  • To assess the efficacy of stenting in reducing basilar artery stenosis.
  • To determine the clinical outcomes following basilar artery stenting in a selected patient cohort.

Main Methods:

  • Twelve patients with vertebrobasilar ischemia underwent elective basilar artery stenting.
  • Patients included those with failed medical therapy or anticoagulation contraindications.
  • Outcomes were assessed via neurological exams, quantitative angiography, and clinical follow-up.

Main Results:

  • Stent placement was successful in all twelve patients.
  • Mean stenosis decreased significantly from 71.4% to 10.3% (P<0.0001).
  • No deaths, stent thromboses, perforations, ruptures, or myocardial infarctions occurred; most patients remained asymptomatic.

Conclusions:

  • Elective basilar artery stenting is a feasible and low-risk procedure.
  • The long-term stroke prevention and durability require further investigation.
Abstract

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