Phatouros C C, Lefler J E, Higashida R T, Meyers P M, Malek A M, Dowd C F, Halbach V V
Division of Neurovascular Interventional Radiology, University of California at San Francisco Medical Center, USA.
AJNR Am J Neuroradiol. 2000 Oct;21(9):1744-9.
We report two patients with symptomatic high-grade stenosis of the basilar artery refractory to appropriate maximal medical therapy in whom endovascular stenting was performed successfully without preliminary balloon angioplasty. Excellent angiographic results were achieved and there were no procedural or periprocedural complications. The patients were asymptomatic and neurologically intact at a mean clinical follow-up of 6.5 months. Primary stenting of basilar artery stenosis may be an alternative to balloon angioplasty for patients with symptomatic lesions refractory to medical therapy or in whom anticoagulation is contraindicated.
我们报告了两名患有基底动脉症状性重度狭窄的患者，他们对适当的最大程度药物治疗无效，在未进行初步球囊血管成形术的情况下成功进行了血管内支架置入术。血管造影结果极佳，且无手术或围手术期并发症。在平均6.5个月的临床随访中，患者无症状且神经功能完好。对于药物治疗无效或抗凝治疗禁忌的有症状病变患者，基底动脉狭窄的初次支架置入术可能是球囊血管成形术的替代方法。
