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...
Main Authors: | , , , , |
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Format: | Journal article |
Language: | English |
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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. |
first_indexed | 2024-03-07T01:49:09Z |
format | Journal article |
id | oxford-uuid:99786757-cef4-41a0-b567-0270d09317ba |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-07T01:49:09Z |
publishDate | 2009 |
record_format | dspace |
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 |
work_keys_str_mv | AT grallaj fatalhemorrhageafterattemptedtreatmentofabasilararterystenosiscasereport AT renniea fatalhemorrhageafterattemptedtreatmentofabasilararterystenosiscasereport AT squirew fatalhemorrhageafterattemptedtreatmentofabasilararterystenosiscasereport AT rothwellp fatalhemorrhageafterattemptedtreatmentofabasilararterystenosiscasereport AT kukerw fatalhemorrhageafterattemptedtreatmentofabasilararterystenosiscasereport |