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Abstract - Case Report
J Cerebrovasc Endovasc Neurosurg. 2021 23(2): 145-151 ¨Ï The Journal of Cerebrovascular and Endovascular Neurosurgery |
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Proximal basilar artery hemorrhage after submaximal angioplasty for intracranial atherosclerotic disease presenting as a large vessel occlusion treated with pipeline embolization device |
Michael Young1, Gina N. Guglielmi1, Hamad Farhat2 |
1Department of Neurosurgery, Carle BroMenn Medical Center, Normal, IL, USA, 2Department of Neurosurgery, Advocate Christ Medical Center, Oak Lawn, IL, USA |
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Iatrogenic vessel perforation from endovascular intervention is a devastating complication that commonly is treated with vessel sacrifice. We present a unique case of an iatrogenic proximal basilar artery perforation after submaximal angioplasty in a 67-year-old male presenting with an acute basilar artery occlusion with underlying intracranial atherosclerotic disease. Telescoping flow-diverting stents were then deployed to reconstruct the vessel wall with resulting active hemorrhage resolution. Our case documents a successful deployment of flow-diverting stents with resolution of active hemorrhage after an iatrogenic basilar artery perforation.
Keywords¡¡Intracranial atherosclerosis, Basilar artery, Iatrogenic disease, Angioplasty |
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Key words : Intracranial atherosclerosis, Basilar artery, Iatrogenic disease, Angioplasty |
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