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High resolution MRI guided endovascular intervention of basilar artery disease
  1. Wei-Jian Jiang1,2,3,
  2. Wengui Yu4,
  3. Ning Ma1,
  4. Bin Du1,
  5. Xin Lou5,
  6. Peter A Rasmussen2
  1. 1Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
  2. 2Cerebrovascular Center, Neurological Institute of Cleveland Clinic Foundation, Cleveland, Ohio, USA
  3. 3Neurology Institute at Hospital Affiliated with Nantong University, Nantong, China
  4. 4Departments of Neurological Surgery and Neurology, UT Southwestern Medical Center at Dallas, Dallas, Texas, USA
  5. 5Department of Radiology, People's Liberation Army (PLA) General Hospital, Beijing, China
  1. Correspondence to Dr W J Jiang, Department of Interventional Neuroradiology, Beijing Tiantan Hospital, The Capital Medical University, No 6 Tiantan Xili, Beijing 100050, China; cjr.jiangweijian{at}


Background and aim High resolution MR imaging (HRMRI) has been used to study intracranial atherosclerotic plaques. How HRMRI guided our decision making process in endovascular intervention of basilar artery (BA) atherosclerotic disease is reported.

Methods 3 patients with symptomatic BA atherosclerotic disease underwent BA wall HRMRI under a 3 T MR scanner. Endovascular intervention was then performed utilizing HRMRI findings to guide therapy and to aid in planning the intervention.

Results HRMRI clearly identified the eccentric atherosclerotic plaque at the opposite side of the adjacent right anterior inferior cerebellar artery in one patient and left posterior cerebral artery in one patient, and eccentric atherosclerotic plaque protruding BA lumen at the opposite side of the adjacent right anterior inferior cerebellar artery in the remaining patient. The BA stenosis was stented without compromise of the adjacent branch arteries in the three patients.

Conclusion HRMRI may be used to delineate the eccentric atherosclerotic plaque and the ostia of the major side branches of BA. The HRMRI findings seem helpful in guiding BA stenting with reduced complication risk.

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  • Funding The study was supported by the National Natural Science Foundation of China (81070925) and Medical Capital Development Fund of Beijing, China (2009-1937), to W-JJ; and PLA 11.5th Medical Foundation (06Q070) to XL.

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval This study was conducted with the approval of the Beijing Tiantan Hospital.

  • Provenance and peer review Not commissioned; externally peer reviewed.