Treatment of acute intracranial vertebrobasilar dissection with angioplasty and stent placement: report of two cases.
Acute vertebrobasilar dissection may cause subarachnoid hemorrhage by rupturing through the adventia or cerebral infarct by progressive occlusion of the true lumen. Recent reports on the endovascular management of this condition have focused on treatment of pseudoaneurysms. We report two cases where angioplasty or stent placement was successfully used to improve compromised blood flow secondary to vertebrobasilar dissection.
Department of Radiology, Indiana University School of Medicine, Indianapolis 46202, USA.
Steven J
SJ
Willing
Frank
F
Skidmore
Jill
J
Donaldson
Ulises Lisandro
UL
Nobo
Konstantin
K
Chernukha
D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017130:Angioplasty; D001488:Basilar Artery / Q000000981:diagnostic imaging; D002545:Brain Ischemia / Q000209:etiology; D001933:Brain Stem / Q000098:blood supply; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D015607:Stents; D013345:Subarachnoid Hemorrhage / Q000209:etiology; D014711:Vertebral Artery / Q000000981:diagnostic imaging; D020217:Vertebral Artery Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*