Emergency vertebrobasilar stenting in recurrent medial medullary ischemic stroke

Abstract

Intracranial stenting and angioplasty have been used widely to treat atherosclerotic symptomatic vascular stenosis when conventional medical therapy fails to eliminate ischemic symptoms. We describe a case report of middle-age diabetic male with endovascular stent deployment for the treatment of atherosclerotic vertebrobasilar artery stenosis with acute recurrent medial medullary ischemic stroke. Application of a drug-eluting stent coronary stent without previous balloon dilatation resulted in vessel reopening and good clinical improvement. Emergency primary intracranial stent deployment can be technically feasible and improve the outcome in acute vertebrobasilar artery occlusion whenever indicated.

Keywords

• basilar artery
• deep venous thrombosis
• drug-eluting stent
• dual antiplatelets therapy
• intracranial stents