Nota Clínica

Endovascular treatment of critical basilar stenosis with a Solitaire ® stent device: a first experience in our centre

P. Mulero, E. Cortijo-García, M. Ruiz-Piñero, S. Pérez-Fernández, J.F. Arenillas-Lara, M. Martínez-Galdámez [REV NEUROL 2014;59:118-120] PMID: 25030071 DOI: https://doi.org/10.33588/rn.5903.2014176

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Volumen 59 | Number 03 | Nº of views of the article 6.849 | Nº of PDF downloads 260 | Article publication date 01/08/2014

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ABSTRACT

INTRODUCTION Although intracranial arteriosclerosis is an important cause of stroke, the therapeutic attitude has still not been clearly established. Hence, the SAMMPRIS study compared intensive medical treatment with angioplasty and stent placement, with outcomes favouring the pharmacological treatment. These results could be partly due to the device used (Wingspan ® stent).

CASE REPORT A 71-year-old male with a severe stenosis of the basilar artery, who suffered repeated episodes of transient neurological focus despite being treated with antiplatelet therapy and statins. Given the circumstances, the decision was made to perform a therapeutic arteriography with angioplasty and placement of a Solitaire ® stent in order to optimise results, a residual stenosis of 40% being achieved. Subsequent progress was favourable and the control tests carried out showed a minimum progression.

CONCLUSIONS As far as we know, this is the first case of critical stenosis of the basilar artery being treated by placement of a Solitaire® stent to be reported in the literature. KeywordsBasilar artery Endovascular treatment Intracranial stenosis Recurrent transient ischaemic attack Solitaire Stent CategoriesPatología vascular

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Nota Clínica

Endovascular treatment of critical basilar stenosis with a Solitaire ® stent device: a first experience in our centre

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