Proximal basilar artery hemorrhage after submaximal angioplasty for intracranial atherosclerotic disease presenting as a large vessel occlusion treated with pipeline embolization device
10.7461/jcen.2021.E2020.11.005
- Author:
Ryan M. JOHNSON
1
;
Michael YOUNG
;
Gina N. GUGLIELMI
;
Hamad FARHAT
Author Information
1. Department of Neurosurgery, Carle BroMenn Medical Center, Normal, IL, USA
- Publication Type:Case Report
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2021;23(2):145-151
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
