Honda S, Mori T, Fukuoka M, Kajita K, Arisawa M, Nishimura T, Mori K
Department of Neurosurgery, Kochi Medical School, Japan.
Neurol Med Chir (Tokyo). 1994 Aug;34(8):551-4. doi: 10.2176/nmc.34.551.
A 51-year-old male suffering from recurrent cerebral ischemia due to total occlusion of the bilateral intracranial vertebral arteries more than 1 month old was successfully treated by percutaneous transluminal angioplasty (PTA). The totally occluded portion from the right intracranial vertebral artery to the basilar artery was adequately dilated. Follow-up angiography approximately 3 months after angioplasty demonstrated no evidence of restenosis. His symptoms have not recurred. PTA is potentially a much less invasive and safer reconstruction than bypass surgery for total occlusions of the intracranial vertebral arteries less than 3 months old.
一名51岁男性，因双侧颅内椎动脉完全闭塞超过1个月而反复发生脑缺血，经皮腔内血管成形术（PTA）治疗成功。从右颅内椎动脉到基底动脉的完全闭塞部分得到充分扩张。血管成形术后约3个月的随访血管造影显示无再狭窄迹象。他的症状未再复发。对于小于3个月的颅内椎动脉完全闭塞，与搭桥手术相比，PTA可能是一种侵入性小得多且更安全的重建方法。
