Skip to main content

Transluminal angioplasty for atherosclerotic disease of the vertebral and basilar arteries.

Publication ,  Journal Article
Higashida, RT; Tsai, FY; Halbach, VV; Dowd, CF; Smith, T; Fraser, K; Hieshima, GB
Published in: J Neurosurg
February 1993

Transluminal angioplasty for hemodynamically significant stenosis (> 70%) involving the posterior cerebral circulation is now being performed by the authors in selected cases. A total of 42 lesions affecting the vertebral or basilar artery have been successfully treated by percutaneous transluminal angioplasty techniques in 41 patients. The lesions involved the proximal vertebral artery in 34 cases, the distal vertebral artery in five, and the basilar artery in three. Patients were examined clinically at 1 to 3 and 6 to 12 months after angioplasty. Three (7.1%) permanent complications occurred, consisting of stroke in two cases and vessel rupture in one. There were four (9.5%) transient complications (< 30 minutes): two cases of vessel spasm and two of cerebral ischemia. Clinical follow-up examination demonstrated improvement of symptoms in 39 cases (92.9%). Radiographic follow-up studies demonstrated three cases (7.1%) of restenosis involving the proximal vertebral artery; two were treated by repeat angioplasty without complication, and the third is being followed clinically while the patient remains asymptomatic. In patients with significant atherosclerotic stenosis involving the vertebral or basilar artery territories, transluminal angioplasty may be of significant benefit in alleviating symptoms and improving blood flow to the posterior cerebral circulation.

Published In

J Neurosurg

DOI

ISSN

0022-3085

Publication Date

February 1993

Volume

78

Issue

2

Start / End Page

192 / 198

Location

United States

Related Subject Headings

  • Vertebrobasilar Insufficiency
  • Vertebral Artery
  • Tomography, X-Ray Computed
  • Recurrence
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Follow-Up Studies
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Higashida, R. T., Tsai, F. Y., Halbach, V. V., Dowd, C. F., Smith, T., Fraser, K., & Hieshima, G. B. (1993). Transluminal angioplasty for atherosclerotic disease of the vertebral and basilar arteries. J Neurosurg, 78(2), 192–198. https://doi.org/10.3171/jns.1993.78.2.0192
Higashida, R. T., F. Y. Tsai, V. V. Halbach, C. F. Dowd, T. Smith, K. Fraser, and G. B. Hieshima. “Transluminal angioplasty for atherosclerotic disease of the vertebral and basilar arteries.J Neurosurg 78, no. 2 (February 1993): 192–98. https://doi.org/10.3171/jns.1993.78.2.0192.
Higashida RT, Tsai FY, Halbach VV, Dowd CF, Smith T, Fraser K, et al. Transluminal angioplasty for atherosclerotic disease of the vertebral and basilar arteries. J Neurosurg. 1993 Feb;78(2):192–8.
Higashida, R. T., et al. “Transluminal angioplasty for atherosclerotic disease of the vertebral and basilar arteries.J Neurosurg, vol. 78, no. 2, Feb. 1993, pp. 192–98. Pubmed, doi:10.3171/jns.1993.78.2.0192.
Higashida RT, Tsai FY, Halbach VV, Dowd CF, Smith T, Fraser K, Hieshima GB. Transluminal angioplasty for atherosclerotic disease of the vertebral and basilar arteries. J Neurosurg. 1993 Feb;78(2):192–198.

Published In

J Neurosurg

DOI

ISSN

0022-3085

Publication Date

February 1993

Volume

78

Issue

2

Start / End Page

192 / 198

Location

United States

Related Subject Headings

  • Vertebrobasilar Insufficiency
  • Vertebral Artery
  • Tomography, X-Ray Computed
  • Recurrence
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Magnetic Resonance Imaging
  • Humans
  • Follow-Up Studies