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Angioplasty and stenting for symptomatic basilar artery stenosis

Francisco Asis Aquino Gondim1, Salvador Cruz-Flores, Joseph Moore

  • 1Department of Neurology, Saint Louis University Hospital, John Cochran Veterans Administration Hospital, St. Louis, Missouri, USA.

Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging
|February 6, 2002
PubMed

Insights

Angioplasty with stenting for basilar artery stenosis is feasible in patients refractory to medical therapy. Further research is needed to define its role and optimal post-procedure treatment.

Area of Science:

  • Neurology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Symptomatic basilar artery stenosis poses a significant risk of stroke.
  • Medical management with antiplatelet and anticoagulation therapy can be insufficient.

Observation:

  • A 71-year-old male with refractory basilar artery stenosis underwent successful angioplasty and stenting.
  • The patient was initially symptom-free on dual antiplatelet therapy (clopidogrel and aspirin).

Findings:

  • One month post-procedure, the patient developed a right frontal intracerebral hemorrhage.
  • Angioplasty and stenting for symptomatic basilar artery stenosis is technically feasible.

Implications:

  • The precise therapeutic role of angioplasty and stenting for basilar artery stenosis requires further definition.
  • Optimal medical management strategies following endovascular intervention for basilar artery stenosis remain to be established.

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