Tandem intracranial stent deployment for treatment of an iatrogenic, flow-limiting, basilar artery dissection: technical case report.

摘要: Objective and importance Intimal dissection constitutes one of the complications associated with angioplasty intracranial vessels. We present a case iatrogenic entire basilar artery, which was induced by stenting symptomatic, focal, vertebral artery stenosis, its successful treatment tandem deployment downstream stent. Clinical presentation A 61-year-old, hypertensive, renal transplant recipient presented orthostatic vertebrobasilar insufficiency that refractory to medical management, including anticoagulation therapy. Angiography revealed an occluded right high-grade, left stenosis. Magnetic resonance imaging showed multiple posterior fossa infarctions. The stenosis successfully treated primary stent balloon angioplasty, symptom resolution. On postprocedure Day 2, patient noted worsening hemiparesis. Intervention Subsequent angiography flow-limiting, windsock-type, beginning at distal end extending origin cerebral artery. navigated intracranially deployed past first one, sealing inflow zone reconstituting normal flow top clinical follow-up examination 3 months no further symptoms only mild residual right-sided weakness. Conclusion This is description stent-induced control via deployment.