KMID : 1005420210230020145
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Journal of Cerebrovascular and Endovascular Neurosurgery 2021 Volume.23 No. 2 p.145 ~ p.151
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Proximal basilar artery hemorrhage after submaximal angioplasty for intracranial atherosclerotic disease presenting as a large vessel occlusion treated with pipeline embolization device
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Johnson Ryan M.
Young Michael Guglielmi Gina N. Farhat Hamad
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Abstract
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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.
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KEYWORD
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Intracranial atherosclerosis, Basilar artery, Iatrogenic disease, Angioplasty
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