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[Percutaneous interventional treatment of vertebral artery stenosis with coronary stents: two case reports]
Fumitaka Inoue1, Takashi Tsuzuki, Yoshiki Thoma
1Department of Cardiology, Nara Prefectural Hospital, Hiramatsu 1-30-1, Nara, Nara 631-0846.
Insights
Percutaneous treatment of vertebral artery stenosis using coronary stents proved safe and effective. This minimally invasive approach offers excellent angiographic outcomes for patients with severe vertebral artery disease.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Neurology
Background:
- Vertebral artery stenosis poses a significant risk for stroke.
- Percutaneous intervention is a treatment option, but specific techniques for vertebral arteries are evolving.
Observation:
- Two patients with severe ostial vertebral artery stenosis were treated.
- Case 1: 78-year-old male with 100% right and 99% left ostial stenosis.
- Case 2: 64-year-old male with 90% right and 99% left ostial stenosis.
Findings:
- Both patients underwent successful balloon angioplasty and coronary stent placement.
- Excellent angiographic results were achieved in both cases.
- No complications related to stent placement were observed.
Implications:
- Coronary interventional equipment and techniques are safely applicable for vertebral artery angioplasty.
- This approach provides a viable treatment option for vertebral artery stenosis.
- Further studies can explore the long-term efficacy of this technique.
Abstract:
Two patients underwent percutaneous interventional treatment for vertebral artery stenosis using coronary stents. Vertebral angiography of Case 1 (78-year-old male) showed right ostial 100% obstruction and left ostial 99% stenosis. Balloon angioplasty and stent placement (Multilink 4.0 x 18 mm) were performed for the left vertebral artery. Vertebral angiography of Case 2 (64-year-old male) showed bilateral ostial severe stenoses (right 90%, left 99% + alpha). Balloon angioplasty and stent placement(Multilink 3.5 x 18 mm) were performed for the right vertebral artery. These two patients showed excellent angiographic results with no complication associated with stent placement. Vertebral artery angioplasty can be performed safely using coronary interventional equipment and techniques.
