RT Journal Article
SR Electronic
T1 Treatment of a intracranial stenosis with a vulnerable plaque under proximal flow reversal with balloon angioplasty and stent placement
JF Journal of NeuroInterventional Surgery
JO J NeuroIntervent Surg
FD BMJ Publishing Group Ltd.
SP e7
OP e7
DO 10.1136/neurintsurg-2011-010004
VO 4
IS 3
A1 Gao, Michael C
A1 Gemmete, Joseph J
A1 Pandey, Aditya S
A1 Chaudhary, Neeraj
YR 2012
UL http://jnis.bmj.com/content/4/3/e7.abstract
AB Intracranial stenosis is associated with a high risk of ischemic events, even with medical treatment. Percutaneous transluminal angioplasty and stenting (PTAS) is an accepted intervention for addressing a moderate intracranial stenosis (≥50%) that is refractory to medical treatment. Distal emboli are seen in 34% to 70% of patients on MRI diffusion weighted images post PTAS. We present a unique case of an intracranial stenosis with a vulnerable plaque treated with PTAS under proximal flow reversal to decrease the risk of possible distal embolization.