Cerebrovascular Reserve Before and After Vertebral Artery Angioplasty
Georg Gahn
,a,
Antje Richtera,
Holger Bourquaina,
Susanne Hallmeyera,
Heinz Reichmanna and
Rüdiger von Kummera
a From the Departments of Neurology (G.G., A.R., S.H., H.R.) and Neuroradiology (H.B., R.vK.), Technical University of Dresden, Dresden, Germany.

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FIG 1. Digital subtraction angiography of the vertebrobasilar system.
A, Before angioplasty, there is a 95% stenosis of the distal segment at the level of the foramen magnum.
B, After angioplasty, there is a residual 50% stenosis.
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FIG 2. Cerebrovascular reserve, defined as percentage of change in mean blood flow velocity in the PCA over time of breath-holding.
A, Before angioplasty, there is marked impairment of cerebrovascular reserve on the left side as compared with the right.
B, After angioplasty, cerebrovascular reserve is equal on both sides.
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