Percutaneous transluminal angioplasty and stenting of midbasilar stenoses: three technical case reports and literature review

Neurosurgery. 1999 Oct;45(4):925-30; discussion 930-1. doi: 10.1097/00006123-199910000-00043.


Objective and importance: Symptomatic basilar artery stenosis is a highly morbid disease process. Recent technological and pharmaceutical advances make endovascular treatment of this disease process possible.

Clinical presentation: We report three cases of patients with a symptomatic basilar artery stenosis despite anticoagulation.

Intervention: All patients were successfully treated with a flexible coronary stent and perioperative antiplatelet medications without incident. Poststenting angiography demonstrated a normal-caliber artery with patent perforators. In one case, a poststenting cerebral blood flow study revealed improved perfusion.

Conclusion: A new generation of stents and balloons makes access to intracranial intradural arterial pathological abnormalities possible. Such devices may well revolutionize the management of ischemic and hemorrhagic intracranial cerebrovascular disease.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Angioplasty, Balloon*
  • Combined Modality Therapy
  • Diagnostic Imaging
  • Humans
  • Male
  • Middle Aged
  • Platelet Aggregation Inhibitors / administration & dosage
  • Stents*
  • Treatment Outcome
  • Vertebrobasilar Insufficiency / diagnosis
  • Vertebrobasilar Insufficiency / therapy*


  • Platelet Aggregation Inhibitors