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Pathological Result of Basilar Artery Stenosis Rapidly Progressed and Ruptured with Stent-assisted Angioplasty

H Nagashima1, K Naito, F Oya

  • 1Interventional Neuroradiology Center, Aizawa Hospital; Honjo, Matsumoto, Japan.

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
|June 24, 2010
PubMed

Insights

Intracranial angioplasty with coronary stents shows promise for stenosis treatment. However, a case of basilar artery stenosis demonstrated rapid re-stenosis and vessel rupture during stent-assisted angioplasty, highlighting potential complications.

Area of Science:

  • Neurology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Intracranial artery stenosis poses a significant risk for stroke.
  • Stent-assisted angioplasty is increasingly used for intracranial stenosis.
  • Complications and long-term outcomes require further investigation.

Purpose of the Study:

  • To report a rare case of basilar artery stenosis.
  • To investigate the complications of stent-assisted angioplasty in this context.
  • To analyze pathological findings following a procedure failure.

Main Methods:

  • A case of basilar artery stenosis was treated with balloon angioplasty.
  • The patient experienced rapid re-stenosis and underwent stent-assisted angioplasty.
  • Autopsy was performed to examine the vessel pathology.

Main Results:

  • Simple balloon angioplasty led to rapid re-stenosis.
  • Stent-assisted angioplasty resulted in vessel rupture.
  • Autopsy revealed vessel wall disruption and elastic lamina defects at the stent site.

Conclusions:

  • While stent-assisted angioplasty is a viable option for intracranial stenosis, this case highlights potential severe complications.
  • Rapid re-stenosis and vessel rupture can occur, necessitating careful patient selection and procedural monitoring.
  • Pathological findings underscore the importance of understanding vessel wall response to stenting in the intracranial circulation.
Abstract

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