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Updated: Jun 19, 2026
06:59
Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
Published on: August 26, 2025
[Stenting for symptomatic high-grade basilar artery stenosis]
Slobodan Culafić1, Novak Lakićević, Miodrag Mihajlović
1Vojnomedicinska akademija, Institut za radiologiju, Beograd, Srbija.
Vojnosanitetski Pregled
|November 3, 2009
Summary
This study presents a non-surgical treatment for symptomatic basilar artery stenosis using balloon angioplasty and self-expandable stenting. This endovascular approach effectively treated severe stenosis, preventing further ischemic attacks.
Area of Science:
- Neurology
- Interventional Cardiology
- Vascular Surgery
Background:
- Cerebral artery stenosis, primarily due to atherosclerosis, is a significant cause of ischemic stroke.
- Basilar artery stenosis poses a high risk for recurrent ischemic events and stroke.
- Atherosclerosis accounts for 95% of cerebral vessel stenosis cases.
Observation:
- A 48-year-old male presented with transient ischemic attacks, visual disturbances, and balance issues over 12 months.
- Multislice computed tomography (MSCT) angiography revealed 85% annular stenosis of the basilar artery.
- Digital subtraction angiography (DSA) confirmed the stenosis dimensions and location.
Findings:
- Endovascular stenting, preceded by balloon angioplasty, was successfully performed under general anesthesia.
- A self-expandable stent (3.0 mm diameter, 12 mm length) was deployed to treat the basilar artery stenosis.
- Post-procedure angiography confirmed complete resolution of the stenosis and successful basilar artery dilatation.
Implications:
- This combined endovascular technique offers a viable non-surgical option for symptomatic basilar artery stenosis.
- Successful stenting can reduce the risk of recurrent ischemic attacks and future strokes.
- Minimally invasive endovascular procedures are advancing the treatment of complex cerebrovascular diseases.
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