Flow diverter as a rescue therapy for a complicated basilar angioplasty.

摘要: Intracranial atherosclerotic disease is a major cause of ischemic stroke. Stenting and aggressive medical management for preventing recurrent stroke in intracranial stenosis was terminated prematurely due to high death rate patients randomized stent placement. However, some patients, angioplasty and/or placement remains the best approach. Flow diverters (FDs) are designed produce hemodynamic flow diversion by constituting laminar pattern parent artery mainly used non-ruptured complex wide-neck aneurysms as well ruptured aneurysms. Herein, we present case where an FD complicated basilar atherosclerosis. A 72-year-old female patient admitted our hospital with left side weakness vertigo. Her diffusion magnetic resonance imaging angiography showed right-sided pontine left-sided occipital acute infarcts chronic infarcted areas preocclusive mid-basilar stenosis. The under supervised treatment. Despite brain stem her modified Rankin Scale 2. Diagnostic no posterior communicating arteries pial-pial collaterals critical We decided perform increase perfusion circulation reduce risk additional embolic infarcts. Angioplasty dissection vessel perforation. rescue therapy avoid rebleeding. discharged good clinical angiographic results. F low new option endovascular that particularly suitable wide-necked aneurysms, fusiform very small (<2 mm) or blister-like which hard treat. FDs can alter aneurysmal inflow such progressive thrombosis exclusion aneurysm from be induced. Although long-term follow-up data currently unavailable, there accumulating evidence results these devices. mostly but several reports series also (1, 2). In this report, perforation after balloon angioplasty. Case report