Successful cerebral artery stent placement for total occlusion of the vertebrobasilar artery in a patient suffering from acute stroke

Case report

Takahisa Mori Division of Neurological Endovascular Intervention, Department of Neurosurgery, Kochi Medical School Hospital, Nankoku, Kochi, Japan

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 M.D., Ph.D.
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Ken Kazita Division of Neurological Endovascular Intervention, Department of Neurosurgery, Kochi Medical School Hospital, Nankoku, Kochi, Japan

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Masato Seike Division of Neurological Endovascular Intervention, Department of Neurosurgery, Kochi Medical School Hospital, Nankoku, Kochi, Japan

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Yuji Nojima Division of Neurological Endovascular Intervention, Department of Neurosurgery, Kochi Medical School Hospital, Nankoku, Kochi, Japan

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Koreaki Mori Division of Neurological Endovascular Intervention, Department of Neurosurgery, Kochi Medical School Hospital, Nankoku, Kochi, Japan

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✓ A 64-year-old man suffering from crescendo brainstem symptoms due to acute total occlusion of the vertebrobasilar artery was successfully treated by cerebral artery stent placement. The total occlusion of a long segment of the vertebrobasilar artery was completely recanalized by implanting two flexible, balloon-expandable coronary stents. The patient's clinical outcome 30 days later was favorable. No complications occurred during or after the procedure. This therapeutic option may prove to be a useful means to revascularize an acute total occlusion of the vertebrobasilar artery.

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  • 1.

    Antoniucci D, , Santoro GM, & Bolognese L, et al: A clinical trial comparing primary stenting of the infarct-related artery with optimal primary angioplasty for acute myocardial infarction. Results from the Florence Randomized Elective Stenting in Acute Coronary Occlusions (FRESCO) trial. J Am Coll Cardiol 31:12341239, 1998 Antoniucci D, Santoro GM, Bolognese L, et al: A clinical trial comparing primary stenting of the infarct-related artery with optimal primary angioplasty for acute myocardial infarction. Results from the Florence Randomized Elective Stenting in Acute Coronary Occlusions (FRESCO) trial. J Am Coll Cardiol 31:1234–1239, 1998

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Caplan LR: Bilateral distal vertebral artery occlusion. Neurology 33:552558, 1983 Caplan LR: Bilateral distal vertebral artery occlusion. Neurology 33:552–558, 1983

  • 3.

    Dorros G, , Cohn JM, & Palmer LE: Stent deployment resolves a petrous carotid artery angioplasty dissection. AJNR 19:392394, 1998 Dorros G, Cohn JM, Palmer LE: Stent deployment resolves a petrous carotid artery angioplasty dissection. AJNR 19:392–394, 1998

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Feldman RL, , Trigg L, & Gaudier J, et al: Use of coronary Palmaz-Schatz stent in the percutaneous treatment of an intracranial carotid artery stenosis. Cathet Cardiovasc Diagn 38:316319, 1996 Feldman RL, Trigg L, Gaudier J, et al: Use of coronary Palmaz-Schatz stent in the percutaneous treatment of an intracranial carotid artery stenosis. Cathet Cardiovasc Diagn 38:316–319, 1996

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Grond M, , Rudolf J, & Schmülling S, et al: Early intravenous thrombolysis with recombinant tissue-type plasminogen activator in vertebrobasilar ischemic stroke. Arch Neurol 55:466469, 1998 Grond M, Rudolf J, Schmülling S, et al: Early intravenous thrombolysis with recombinant tissue-type plasminogen activator in vertebrobasilar ischemic stroke. Arch Neurol 55:466–469, 1998

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Honda S, , Mori T, & Fukuoka M, et al: Successful percutaneous transluminal angioplasty of the intracranial vertebral artery 1 month after total occlusion—case report. Neurol Med Chir 34:551554, 1994 Honda S, Mori T, Fukuoka M, et al: Successful percutaneous transluminal angioplasty of the intracranial vertebral artery 1 month after total occlusion—case report. Neurol Med Chir 34:551–554, 1994

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Hornig CR, , Buettner T, & Hoffmann O, et al: Short-term prognosis of vertebrobasilar ischemic stroke. Cerebrovasc Dis 2:273281, 1992 Hornig CR, Buettner T, Hoffmann O, et al: Short-term prognosis of vertebrobasilar ischemic stroke. Cerebrovasc Dis 2:273–281, 1992

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Imiya M, & Matsuo T: Inhibition of collagen-induced platelet aggregation by argatroban in patients with acute cerebral infarction. Thromb Res 88:245250, 1997 Imiya M, Matsuo T: Inhibition of collagen-induced platelet aggregation by argatroban in patients with acute cerebral infarction. Thromb Res 88:245–250, 1997

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Kaku S, , Umemura K, & Mizuno A, et al: Evaluation of a GPIIb/IIIa antagonist YM337 in a primate model of middle cerebral artery thrombosis. Eur J Pharmacol 345:185192, 1998 Kaku S, Umemura K, Mizuno A, et al: Evaluation of a GPIIb/IIIa antagonist YM337 in a primate model of middle cerebral artery thrombosis. Eur J Pharmacol 345:185–192, 1998

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Lyden P, , Brott T, & Tilley B, et al: Improved reliability of the NIH Stroke scale using video training. Stroke 25:22202226, 1994 Lyden P, Brott T, Tilley B, et al: Improved reliability of the NIH Stroke scale using video training. Stroke 25:2220–2226, 1994

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Mahdi NA, , Lopez J, & Leon M, et al: Comparison of primary coronary stenting to primary balloon angioplasty with stent bailout for the treatment of patients with acute myocardial infarction. Am J Cardiol 81:957963, 1998 Mahdi NA, Lopez J, Leon M, et al: Comparison of primary coronary stenting to primary balloon angioplasty with stent bailout for the treatment of patients with acute myocardial infarction. Am J Cardiol 81:957–963, 1998

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Matsumoto K, , Kato A, & Kohmura E, et al: Acute cerebellar edema following intra-arterial tissue plasminogen activator thrombolysis for basilar artery occlusion—case report. Neurol Med Chir 36:455457, 1996 Matsumoto K, Kato A, Kohmura E, et al: Acute cerebellar edema following intra-arterial tissue plasminogen activator thrombolysis for basilar artery occlusion—case report. Neurol Med Chir 36:455–457, 1996

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Mori T, , Fukuoka M, & Kazita K, et al: Follow-up study after intracranial percutaneous transluminal cerebral balloon angioplasty. AJNR 19:15251533, 1998 Mori T, Fukuoka M, Kazita K, et al: Follow-up study after intracranial percutaneous transluminal cerebral balloon angioplasty. AJNR 19:1525–1533, 1998

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Mori T, , Fukuoka M, & Kazita K, et al: Follow-up study after percutaneous transluminal cerebral angioplasty. Eur Radiol 8:403408, 1998 Mori T, Fukuoka M, Kazita K, et al: Follow-up study after percutaneous transluminal cerebral angioplasty. Eur Radiol 8:403–408, 1998

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Mori T, , Mori K, & Fukuoka M, et al: Percutaneous transluminal angioplasty for total occlusion of middle cerebral arteries. Neuroradiology 39:7174, 1997 Mori T, Mori K, Fukuoka M, et al: Percutaneous transluminal angioplasty for total occlusion of middle cerebral arteries. Neuroradiology 39:71–74, 1997

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Mori T, , Mori K, & Fukuoka M, et al: Percutaneous transluminal cerebral angioplasty: serial angiographic follow-up after successful dilatation. Neuroradiology 39:111116, 1997 Mori T, Mori K, Fukuoka M, et al: Percutaneous transluminal cerebral angioplasty: serial angiographic follow-up after successful dilatation. Neuroradiology 39:111–116, 1997

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Nakano S, , Yokogami K, & Ohta H, et al: Direct percutaneous transluminal angioplasty for acute middle cerebral artery occlusion. AJNR 19:767772, 1998 Nakano S, Yokogami K, Ohta H, et al: Direct percutaneous transluminal angioplasty for acute middle cerebral artery occlusion. AJNR 19:767–772, 1998

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group: Tissue plasminogen activator for acute ischemic stroke. N Engl J Med 333:15811587, 1995 National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group: Tissue plasminogen activator for acute ischemic stroke. N Engl J Med 333:1581–1587, 1995

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Shimizu T: The future potential of eicosanoids and their inhibitors in paediatric practice. Drugs 56:169176, 1998 Shimizu T: The future potential of eicosanoids and their inhibitors in paediatric practice. Drugs 56:169–176, 1998

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Weaver WD, , Simes RJ, & Betriu A, et al: Comparison of primary coronary angioplasty and intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review. JAMA 278:20932098, 1997 Weaver WD, Simes RJ, Betriu A, et al: Comparison of primary coronary angioplasty and intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review. JAMA 278:2093–2098, 1997

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Xiao Z, & Théroux P: Platelet activation with unfractionated heparin at therapeutic concentrations and comparisons with a low-molecular-weight heparin and with a direct thrombin inhibitor. Circulation 97:251256, 1998 Xiao Z, Théroux P: Platelet activation with unfractionated heparin at therapeutic concentrations and comparisons with a low-molecular-weight heparin and with a direct thrombin inhibitor. Circulation 97:251–256, 1998

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Yamaguchi T, , Hayakawa T, & Kikuchi H, et al: Intravenous tissue plasminogen activator ameliorates the outcome of hyperacute embolic stroke. Cerebrovasc Dis 3:269272, 1992 Yamaguchi T, Hayakawa T, Kikuchi H, et al: Intravenous tissue plasminogen activator ameliorates the outcome of hyperacute embolic stroke. Cerebrovasc Dis 3:269–272, 1992

    • PubMed
    • Search Google Scholar
    • Export Citation

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