Intracranial Deployment of Coronary Stents for Symptomatic Atherosclerotic Disease

• Published in: American journal of neuroradiology : AJNR Vol. 20; no. 9; pp. 1688 - 1694
• Main Authors: Morris, P. Pearse, Martin, Eric M, Regan, John, Braden, Greg
• Format: Journal Article
• Language: English
• Published: Oak Brook, IL Am Soc Neuroradiology 01-10-1999; American Society of Neuroradiology
• Subjects: Adult; Angioplasty, Balloon - instrumentation; Biological and medical sciences; Carotid Artery, Internal - diagnostic imaging; Carotid Stenosis - diagnostic imaging; Carotid Stenosis - therapy; Cerebral Angiography; Cerebral Infarction - diagnostic imaging; Cerebral Infarction - therapy; Follow-Up Studies; Humans; Interventional; Intracranial Arteriosclerosis - diagnostic imaging; Intracranial Arteriosclerosis - therapy; Male; Medical sciences; Middle Aged; Neurology; Stents; Tomography, X-Ray Computed; Treatment Outcome; Vascular diseases and vascular malformations of the nervous system; Vertebrobasilar Insufficiency - diagnostic imaging; Vertebrobasilar Insufficiency - therapy; Human; Intracranial; Nervous system diseases; Instrumentation therapy; Cuffed tube; Cardiovascular disease; Instrumental dilatation; Stent; Cerebral disorder; Percutaneous route; Vascular disease; Case study; Treatment; Central nervous system disease; Atherosclerosis; Cerebrovascular disease
• ISSN: 0195-6108; 1936-959X

Intracranial percutaneous transluminal balloon angioplasty (PTA) has been used as a technique of last resort in the treatment of intracranial atherosclerotic disease when medical and surgical alternatives have failed or cannot be applied. The major risks associated with PTA include intracranial vessel rupture and abrupt vessel dissection causing occlusion. Angioplasty techniques in the extracranial circulation have been improved by the development of safe stent technology in combination with potent antiplatelet agents. We report three successful cases of symptomatic intracranial atherosclerotic disease in middle-aged adults treated by endovascular PTA followed by deployment of coronary stents.