[Angioplasty and stenting in severe stenosis of basilar artery refractory to pharmacotherapy].
Stenoses in the posterior cerebral circulation often have a bad prognosis. There may be a high rate of morbi-mortality and recurrences of ischemic events in this territory. Currently we have no evidence or consensus about what the best pharmacological option is for these patients. We report a case of a 75 year old woman with sever stenosis of the proximal part of the basilar artery with recurrent transient ischemic events unresponsive to different combinations of antiagregant and anticoagulant treatments. A percutaneous transluminal angioplasty with the addition of a stent in the basilar artery was performed successfully. At present, there are few studies and a low number of patients treated by this technique. The results obtained are promising, with a low rate of morbi-mortality, the most frequent complications being embolization of the atherosclerotic lesion, dissection, rupture or restenosis.
Izquierdo
J
J
Servicio de Neurología y Neurorradiología intervencionista, Hospital General de Catalunya, Sant Cugat del Vallès, Barcelona. jizquierdo@hgc.es
Roquer
J
J
Rodríguez-Campello
A
A
Soler Singla
L L
LL
Guimaraens
L
L
Pou
A
A
D000368:Aged; D000800:Angioplasty, Balloon; D001241:Aspirin / Q000627:therapeutic use; D001488:Basilar Artery / Q000473:pathology* / Q000601:surgery*; D003251:Constriction, Pathologic / Q000150:complications / Q000188:drug therapy / Q000601:surgery; D005260:Female; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology; D018810:Magnetic Resonance Angiography; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D015607:Stents
D010975:Platelet Aggregation Inhibitors; D001241:Aspirin