Proximal basilar artery hemorrhage after submaximal angioplasty for intracranial atherosclerotic disease presenting as a large vessel occlusion treated with pipeline embolization device

Iatrogenic vessel perforation from endovascular intervention is a devastating complication that commonly is treated with vessel sacrifice. We present a unique case of an iatrogenic proximal basilar artery perforation after submaximal angioplasty in a 67-year-old male presenting with an acute basilar...

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Autores principales: Johnson, Ryan M., Young, Michael, Guglielmi, Gina N., Farhat, Hamad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Cerebrovascular Surgeons and Korean NeuroEndovascular Society 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256018/
https://www.ncbi.nlm.nih.gov/pubmed/34134445
http://dx.doi.org/10.7461/jcen.2021.E2020.11.005
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author Johnson, Ryan M.
Young, Michael
Guglielmi, Gina N.
Farhat, Hamad
author_facet Johnson, Ryan M.
Young, Michael
Guglielmi, Gina N.
Farhat, Hamad
author_sort Johnson, Ryan M.
collection PubMed
description Iatrogenic vessel perforation from endovascular intervention is a devastating complication that commonly is treated with vessel sacrifice. We present a unique case of an iatrogenic proximal basilar artery perforation after submaximal angioplasty in a 67-year-old male presenting with an acute basilar artery occlusion with underlying intracranial atherosclerotic disease. Telescoping flow-diverting stents were then deployed to reconstruct the vessel wall with resulting active hemorrhage resolution. Our case documents a successful deployment of flow-diverting stents with resolution of active hemorrhage after an iatrogenic basilar artery perforation.
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spelling pubmed-82560182021-07-16 Proximal basilar artery hemorrhage after submaximal angioplasty for intracranial atherosclerotic disease presenting as a large vessel occlusion treated with pipeline embolization device Johnson, Ryan M. Young, Michael Guglielmi, Gina N. Farhat, Hamad J Cerebrovasc Endovasc Neurosurg Case Report Iatrogenic vessel perforation from endovascular intervention is a devastating complication that commonly is treated with vessel sacrifice. We present a unique case of an iatrogenic proximal basilar artery perforation after submaximal angioplasty in a 67-year-old male presenting with an acute basilar artery occlusion with underlying intracranial atherosclerotic disease. Telescoping flow-diverting stents were then deployed to reconstruct the vessel wall with resulting active hemorrhage resolution. Our case documents a successful deployment of flow-diverting stents with resolution of active hemorrhage after an iatrogenic basilar artery perforation. Korean Society of Cerebrovascular Surgeons and Korean NeuroEndovascular Society 2021-06 2021-06-17 /pmc/articles/PMC8256018/ /pubmed/34134445 http://dx.doi.org/10.7461/jcen.2021.E2020.11.005 Text en Copyright © 2021 by KSCVS and KoNES https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Johnson, Ryan M.
Young, Michael
Guglielmi, Gina N.
Farhat, Hamad
Proximal basilar artery hemorrhage after submaximal angioplasty for intracranial atherosclerotic disease presenting as a large vessel occlusion treated with pipeline embolization device
title Proximal basilar artery hemorrhage after submaximal angioplasty for intracranial atherosclerotic disease presenting as a large vessel occlusion treated with pipeline embolization device
title_full Proximal basilar artery hemorrhage after submaximal angioplasty for intracranial atherosclerotic disease presenting as a large vessel occlusion treated with pipeline embolization device
title_fullStr Proximal basilar artery hemorrhage after submaximal angioplasty for intracranial atherosclerotic disease presenting as a large vessel occlusion treated with pipeline embolization device
title_full_unstemmed Proximal basilar artery hemorrhage after submaximal angioplasty for intracranial atherosclerotic disease presenting as a large vessel occlusion treated with pipeline embolization device
title_short Proximal basilar artery hemorrhage after submaximal angioplasty for intracranial atherosclerotic disease presenting as a large vessel occlusion treated with pipeline embolization device
title_sort proximal basilar artery hemorrhage after submaximal angioplasty for intracranial atherosclerotic disease presenting as a large vessel occlusion treated with pipeline embolization device
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8256018/
https://www.ncbi.nlm.nih.gov/pubmed/34134445
http://dx.doi.org/10.7461/jcen.2021.E2020.11.005
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AT guglielmiginan proximalbasilararteryhemorrhageaftersubmaximalangioplastyforintracranialatheroscleroticdiseasepresentingasalargevesselocclusiontreatedwithpipelineembolizationdevice
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