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KMID : 1159220060010010047
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Journal of Korean Society of Intravascular Neurosurgery
2006 Volume.1 No. 1 p.47 ~ p.51
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Endovascular Treatment of Rapidly Progressive Bilateral Vertebral Artery Stenoses - A Case Report -
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Park Sa-Kyuk
Lee Jung-Ho
Lee Hyuk-Gee
Ryu Kee-Young
Cho Jae-Hoon
Kang Dong-Gee
Kim Sang-Chul
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Abstract
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Occlusive disease of the proximal of the vertebral artery represents a risk for posterior-circulation ischemia. Percutaneous transluminal angioplasty and stent placement seems a useful technique for the treatment of vertebro-basilar insufficiency. Severe atherosclerotic vascular disease undergoes vertebral artery stent placement using a balloon expandable stent. We report a case of rapidly progressive bilateral vertebral artery stenoses, in which medical therapy failed to relieve the symptom of the patient and left vertebral artery origin stenosis to be treated by an endovascular stenting. Follow up angiogram at 4 months and 1 year later demonstrated good patency of the vertebral artery. To our knowledge, our case is the first report of the endovascular treatment for rapidly progressive bilateral vertebral artery origin stenoses.
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KEYWORD
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Rapid progression, Vertebral artery stenosis, Percutanteous transluminal angioplasty
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