Fatal hemorrhage after attempted treatment of a basilar artery stenosis. Case report.

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 desc...

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Main Authors: Gralla, J, Rennie, A, Squire, W, Rothwell, P, Kuker, W
Format: Journal article
Language:English
Published: 2009
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author Gralla, J
Rennie, A
Squire, W
Rothwell, P
Kuker, W
author_facet Gralla, J
Rennie, A
Squire, W
Rothwell, P
Kuker, W
author_sort Gralla, J
collection OXFORD
description 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.
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spelling oxford-uuid:99786757-cef4-41a0-b567-0270d09317ba2022-03-27T00:14:33ZFatal hemorrhage after attempted treatment of a basilar artery stenosis. Case report.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:99786757-cef4-41a0-b567-0270d09317baEnglishSymplectic Elements at Oxford2009Gralla, JRennie, ASquire, WRothwell, PKuker, WInterventional 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.
spellingShingle Gralla, J
Rennie, A
Squire, W
Rothwell, P
Kuker, W
Fatal hemorrhage after attempted treatment of a basilar artery stenosis. Case report.
title Fatal hemorrhage after attempted treatment of a basilar artery stenosis. Case report.
title_full Fatal hemorrhage after attempted treatment of a basilar artery stenosis. Case report.
title_fullStr Fatal hemorrhage after attempted treatment of a basilar artery stenosis. Case report.
title_full_unstemmed Fatal hemorrhage after attempted treatment of a basilar artery stenosis. Case report.
title_short Fatal hemorrhage after attempted treatment of a basilar artery stenosis. Case report.
title_sort fatal hemorrhage after attempted treatment of a basilar artery stenosis case report
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AT renniea fatalhemorrhageafterattemptedtreatmentofabasilararterystenosiscasereport
AT squirew fatalhemorrhageafterattemptedtreatmentofabasilararterystenosiscasereport
AT rothwellp fatalhemorrhageafterattemptedtreatmentofabasilararterystenosiscasereport
AT kukerw fatalhemorrhageafterattemptedtreatmentofabasilararterystenosiscasereport