Endovascular treatment of basilar artery stenosis with drug-eluting stent: A case report and literature review
Sang Hak Lee MD
Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea
Search for more papers by this authorJae Hun Jung MD
Cardiology Division, Yonsei Cardiovascular Center, Yonsei University College of Medicine, Seoul, South Korea
Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, South Korea
Search for more papers by this authorCorresponding Author
Won-Heum Shim MD
Cardiology Division, Yonsei Cardiovascular Center, Yonsei University College of Medicine, Seoul, South Korea
Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, South Korea
Cardiology Division, Yonsei Cardiovascular Center, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul, 120-752, South KoreaSearch for more papers by this authorSang Hak Lee MD
Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea
Search for more papers by this authorJae Hun Jung MD
Cardiology Division, Yonsei Cardiovascular Center, Yonsei University College of Medicine, Seoul, South Korea
Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, South Korea
Search for more papers by this authorCorresponding Author
Won-Heum Shim MD
Cardiology Division, Yonsei Cardiovascular Center, Yonsei University College of Medicine, Seoul, South Korea
Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, South Korea
Cardiology Division, Yonsei Cardiovascular Center, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul, 120-752, South KoreaSearch for more papers by this authorAbstract
Symptomatic basilar artery stenosis can be treated with stents. However, it still has limitations such as technical difficulty and restenosis. We describe a 61-year-old man with episodic vertigo and significant basilar artery stenosis, who was successfully treated with drug-eluting stent. At 6 month follow-up, cerebral angiography revealed patent basilar artery. Catheter Cardiovasc Interv 2005;64:296–300. © 2005 Wiley-Liss, Inc.
REFERENCES
- 1 Warfarin-Aspirin Symptomatic Intracranial Disease (WASID) Study Group. Prognosis of patients with symptomatic vertebral or basilar artery stenosis. Stroke 1998; 29: 1389–1392.
- 2 Sundt TMJr, Smith HC, Campbell JK, Vlietstra RE, Cucchiara RF, Stanson AW. Transluminla angioplasty for basilar artery stenosis. Mayo Clin Proc 1980; 55: 673–680.
- 3 Lanzino G, Fessler R, Miletich RS, Guterman LR, Hopkins LN. Angioplasty and stenting of basilar artery stenosis: technical case report. Neurosurgery 1999; 45: 404–408.
- 4 Piotin MP, Blanc R, Kothimbakam R, Martin D, Ross IB, Moret J. Primary basilar artery stenting: immediate and long-term results in one patient. Am J Radiol 2000; 175: 1367–1369.
- 5 Rasmussen PA, Perl JII, Barr JD, Markarian GZ, Katzan I, Sila C, Krieger D, Furlan AJ, Masaryk TJ. Stent-assisted angioplasty of intracranial vertebrobasilar atherosclerosis: an initial experience. J Neurosurg 2000; 92: 771–778.
- 6 Whisnant JP, Cartlidge NEF, Elveback LR. Carotid and vertebral-basilar transient ischemic attacks: effects of anticoagulants, hypertension, and cardiac disorders on survival and stroke occurrence-a population study. Ann Neurol 1978; 3: 107–115.
- 7 Hopkins LN, Budny JL. Complication of intracranial bypass for vertebrobasilar insufficiency. J Neurosurg 1989; 70: 207–211.
- 8 EC/IC Bypass Study Group. Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke: results of an international randomized trial. N Engl J Med 1985; 313: 1191–1200.
- 9 Higashida RT, Hieshima GB, Tsai FY, Halbach VV, Norman D, Newton TH. Transluminal angioplasty of the vertebral and basilar artery. Am J Neuroradiol 1987; 8: 745–749.
- 10 Mori T, Fukuoka M, Kazita K, Mori K. Follow-up study after intracranial percutaneous transluminal cerebral balloon angioplasty. Am J Neuroradiol 1998; 19: 1525–1533.
- 11 Marks MP, Marcellus M, Norbash AM, Steinberg GK, Tong D, Albers GW. Outcome of angioplasty for atherosclerotic intracranial stenosis Stroke 1999; 30: 1065–1069.
- 12 Nakatsuka H, Ueda T, Ohta S, Sakaki S. Successful percutaneous transluminal angioplasty for basilar artery stenosis: technical case report. Neurosurgery 1996; 39: 161–164.
- 13 Clark WM, Barnwell SL, Nesbit G, O'Neill OR, Wynn ML, Coull BM. Safety and efficacy of percutaneous transluminal angioplasty for intracranial atherosclerotic stenosis. Stroke 1995; 26: 1200–1204.
- 14 Yokote H, Terada T, Ryujin K, Konoshita Y, Tsuura M, Nakai E, Kamei I, Moriwaki H, Hayashi S, Itakura T. Percutaneous transluminal angioplasty for intracranial arteriosclerotic lesions. Neuroradiology 1998; 41: 590–596.
- 15 Morice MC, Serruys PW, Sousa JE, Fajadet J, Hayashi EB, Perin M, Colombo A, Schuler G, Barragan P, Guagliumi GG, Molnar F, Falotico R, for the RAVEL Study Group. A randomized comparison of a sirolimus-eluting stent with a standard stent for coronary revascularization. N Engl J Med 2002; 346: 1773–1780.