Successful Percutaneous Transluminal Angioplasty of the Intracranial Vertebral Artery 1 Month after Total Occlusion —Case Report—

Shinya HONDA; Takahisa MORI; Masaaki FUKUOKA; Ken KAJITA; Masahiko ARISAWA; Toshihiko NISHIMURA; Koreaki MORI

doi:10.2176/nmc.34.551

Shinya HONDA, Takahisa MORI, Masaaki FUKUOKA, Ken KAJITA, Masahiko ARISAWA, Toshihiko NISHIMURA, Koreaki MORI

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Keywords: angioplasty, total occlusion, intracranial artery

JOURNAL FREE ACCESS

1994 Volume 34 Issue 8 Pages 551-554

DOI https://doi.org/10.2176/nmc.34.551

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Abstract

A 51-year-old male suffering from recurrent cerebral ischemia due to total occlusion of the bilateral intracranial vertebral arteries more than 1 month old was successfully treated by percutaneous transluminal angioplasty (PTA). The totally occluded portion from the right intracranial vertebral artery to the basilar artery was adequately dilated. Follow-up angiography approximately 3 months after angioplasty demonstrated no evidence of restenosis. His symptoms have not recurred. PTA is potentially a much less invasive and safer reconstruction than bypass surgery for total occlusions of the intracranial vertebral arteries less than 3 months old.

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