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Abstract - Case Report

J Cerebrovasc Endovasc Neurosurg. 2021 23(2): 145-151
The Journal of Cerebrovascular and Endovascular Neurosurgery
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

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. KeywordsIntracranial atherosclerosis, Basilar artery, Iatrogenic disease, Angioplasty
Key words : Intracranial atherosclerosis, Basilar artery, Iatrogenic disease, Angioplasty

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