Treatment of a intracranial stenosis with a vulnerable plaque under proximal flow reversal with balloon angioplasty and stent placement.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 21990484.
- Also identified by DOI 10.1136/neurintsurg-2011-010004.
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Abstract
Intracranial stenosis is associated with a high risk of ischemic events, even with medical treatment. Percutaneous transluminal angioplasty and stenting (PTAS) is an accepted intervention for addressing a moderate intracranial stenosis (≥50%) that is refractory to medical treatment. Distal emboli are seen in 34% to 70% of patients on MRI diffusion weighted images post PTAS. We present a unique case of an intracranial stenosis with a vulnerable plaque treated with PTAS under proximal flow reversal to decrease the risk of possible distal embolization.
Medical subject headings
- Angioplasty
- Angioplasty, Balloon
- Focal Adhesions
- Intracranial Arteriosclerosis
- Stents