Successful percutaneous transluminal angioplasty of the intracranial vertebral artery 1 month after total occlusion--case report.
A 51-year-old male suffering from recurrent cerebral ischemia due to total occlusion of the bilateral intracranial vertebral arteries more than 1 month old was successfully treated by percutaneous transluminal angioplasty (PTA). The totally occluded portion from the right intracranial vertebral artery to the basilar artery was adequately dilated. Follow-up angiography approximately 3 months after angioplasty demonstrated no evidence of restenosis. His symptoms have not recurred. PTA is potentially a much less invasive and safer reconstruction than bypass surgery for total occlusions of the intracranial vertebral arteries less than 3 months old.
Honda
S
S
Department of Neurosurgery, Kochi Medical School, Japan.
Mori
T
T
Fukuoka
M
M
Kajita
K
K
Arisawa
M
M
Nishimura
T
T
Mori
K
K
D000800:Angioplasty, Balloon; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D002533:Cerebral Angiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000503:physiopathology* / Q000601:surgery*