Endovascular Treatment of Supra-Aortic Extracranial Stenoses in Patients with Vertebrobasilar Insufficiency Symptoms

Abstract

Balloon angioplasty and stenting of extracranial vertebrobasilar arterial stenoses appeared to be effective in endovascular treatment of medically resistant VBI. Further investigations are required to clarify the role of subclavian artery kinking in VBI development and indications for various methods of its correction.

Dual guidewire placement to enhance arch vessel origin identification: A simple technique to facilitate ostial aortic arch vessel stenting

“…[1][2][3][4][5] All available reports describing this procedure uniformly rely on an contrast aortogram to delineate the origin of the arch branch vessels, either by an antegrade femoral pigtail injection or a retrograde brachial or carotid sheath injection. 1-8 Although many authors have described the utility of brachial or carotid approach for retrograde arch vessel stenting, 1,3,5-7 the timing between the contrast injection and stent deployment may result in imprecise positioning of the stent due to factors such as diaphragmatic movement caused by the respiratory cycle.…”

Single-stage endovascular treatment in patients with severe extracranial large vessel stenosis and concomitant ipsilateral unruptured intracranial aneurysm

“…Endovascular treatment by angioplasty and stenting is an effective and safe treatment option for proximal subclavian artery stenosis (27)(28)(29). Moreover, as in carotid revascularization, a sudden increase in the intracranial blood flow following the subclavian stenting may create a risk of rupture for the concomitant posterior circulation aneurysm.…”

Brainstem Ischemia, Steno-occlusive Pathology of the Vertebral Arteries, and Alterations in the Circadian Blood Pressure Pattern: A Case Report

“…Surgical 2 and endovascular 3 approaches have, therefore, been used in an effort to treat this disorder, particularly in patients with worsening condition despite maximal medical therapy. [4][5][6] We report the case of a patient with vertebrobasilar steno-occlusive pathology associated with ischemic brainstem symptomatic lesions related to abnormal decrease in blood pressure (BP).…”