Fatal hemorrhage after attempted treatment of a basilar artery stenosis. Case report
| Autor: | Peter M. Rothwell, Jan Gralla, Wilhem Kuker, Wayne Squire, Adam T. M. Rennie |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Subarachnoid hemorrhage medicine.medical_treatment Fatal Outcome Internal medicine Angioplasty medicine.artery Basilar artery Vertebrobasilar Insufficiency Medicine Humans Cerebral Hemorrhage Rupture medicine.diagnostic_test business.industry Vascular disease Stent General Medicine Middle Aged medicine.disease Fibrosis Surgery Cerebral Angiography Stenosis Basilar Artery Balloon dilation Cardiology Stents business Cerebral angiography |
| Zdroj: | Journal of neurosurgery. 111(1) |
| ISSN: | 0022-3085 |
| Popis: | Interventional treatment of severe intracranial stenoses using angioplasty and stent placement carries a significant risk of severe adverse events. These events are frequently caused by the intraarterial dilation but may also be precipitated by other causes related to the procedure. The authors describe a fatal subarachnoid hemorrhage during the treatment of a basilar artery (BA) stenosis caused by a vascular rupture distant from the site of angioplasty. After successful balloon dilation, an attempt to deploy a self-expanding stent failed due to the severe kinking of the stenotic segment of the BA. The angiogram performed during the intervention revealed a fatal rupture of the BA in a location not related to the angioplasty or guide wire tip. The technical aspects of the intervention are analyzed on the basis of the postmortem findings. |
| Databáze: | OpenAIRE |
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