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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Stenting for a symptomatic posterior cerebral artery stenosis
Gelin Xu1, Ling Zheng, Zhiming Zhou
1Department of Neurology, Jinling Hospital, Nanjing University School of Medicine, Nanjing, Jiangsu Province, China. gelinxu@gmail.com
Summary
Stenting is now feasible for posterior cerebral artery stenosis, a previously unestablished procedure. This endovascular technique successfully treated a patient with progressive ischemic symptoms, demonstrating its potential for managing PCA stenosis.
Area of Science:
- Neurology
- Interventional Neuroradiology
- Vascular Surgery
Background:
- Endovascular techniques, including angioplasty and stenting, have advanced significantly for intracranial vessels.
- Stenting has shown favorable outcomes for stenosis in the middle and anterior cerebral arteries.
- The feasibility of stenting for posterior cerebral artery (PCA) stenosis remains largely unestablished.
Observation:
- A patient presented with progressive focal cerebral ischemic symptoms attributed to posterior cerebral artery (PCA) stenosis.
- The patient underwent successful endovascular reconstruction of the stenotic PCA segment using stenting.
Findings:
- The stenting procedure for PCA stenosis was technically feasible and successfully performed.
- Post-procedural outcomes indicated arrest of the patient's progressive focal cerebral ischemic symptoms.
Implications:
- This case suggests that stenting is a viable option for treating posterior cerebral artery (PCA) stenosis.
- Further research and larger studies are warranted to establish the definitive role and long-term efficacy of PCA stenting.