Treatment of a intracranial stenosis with a vulnerable plaque under proximal flow reversal with balloon angioplasty and stent placement. (21st June 2011)

• Record Type: Journal Article
• Authors: Gao, Michael C; Gemmete, Joseph J; Pandey, Aditya S; Chaudhary, Neeraj
• Is Part Of: Journal of neurointerventional surgery. Volume 4:Number 3(2012)
• Page Start: e7
• Page End: e7
• Publication Date: 2011-06-21
• Subjects: Angiography -- stent -- balloon -- blood flow -- stenosis, aneurysm -- arteriovenous malformation -- CT angiography -- vascular malformation; Nervous system -- Surgery -- Periodicals; Cerebrovascular disease -- Surgery -- Periodicals; 617.48
• DOI: 10.1136/neurintsurg-2011-010004
• Languages: English
• ISSNs: 1759-8478

Abstract

Abstract : Intracranial stenosis is associated with a high risk of ischemic events, even with medical treatment. Percutaneous transluminal angioplasty and stenting (PTAS) is an accepted intervention for addressing a moderate intracranial stenosis (≥50%) that is refractory to medical treatment. Distal emboli are seen in 34% to 70% of patients on MRI diffusion weighted images post PTAS. We present a unique case of an intracranial stenosis with a vulnerable plaque treated with PTAS under proximal flow reversal to decrease the risk of possible distal embolization.