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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 24:985-989, May 2003
© 2003 American Society of Neuroradiology

INTERVENTIONAL

Treatment of Acute Intracranial Vertebrobasilar Dissection with Angioplasty and Stent Placement: Report of Two Cases

Steven J. Willing^a, Frank Skidmore^b, Jill Donaldson^c, Ulises Lisandro Nobo^b and Konstantin Chernukha^a

^a Department of Radiology, Indiana University School of Medicine, Indianapolis, IN
^b Department of Neurology, Indiana University School of Medicine, Indianapolis, IN
^c Department of Neurosurgery, Indiana University School of Medicine, Indianapolis, IN

Address correspondence to Steven J. Willing, M.D., M.B.A., Department of Radiology, Indiana University, 550 N. University Blvd., Indianapolis, IN 46202

Summary: Acute vertebrobasilar dissection may cause subarachnoid hemorrhage by rupturing through the adventia or cerebral infarct by progressive occlusion of the true lumen. Recent reports on the endovascular management of this condition have focused on treatment of pseudoaneurysms. We report two cases where angioplasty or stent placement was successfully used to improve compromised blood flow secondary to vertebrobasilar dissection.