{"title":"Basilar Artery Stenosis: Technical Tips to Prevent and Treat Hemorrhage during Angioplasty.","authors":"Zeferino Demartini Jr, Renato Fedatto Beraldo, Adriane Cardoso-Demartini","doi":"10.5137/1019-5149.JTN.46931-24.1","DOIUrl":null,"url":null,"abstract":"<p><p>To describe the strategies and techniques to improve the outcomes in intracranial hemorrhage during endovascular procedures, a case of a 60-year-old male with symptomatic basilar artery stenosis who underwent balloon angioplasty procedure following an iatrogenic basilar artery hemorrhage, is presented. Hemorrhage control and vessel wall reconstruction were achieved with heparin reversal, intermittent balloon inflation, and telescoping stents. In addition, immediate external ventricular drainage was able to control the intracranial hypertension. In conclusion, the ruptured of intracranial vessels is usually challenging to treat. Intermittent balloon inflation with telescoping stents can help stop bleeding.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"577-579"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Turkish neurosurgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5137/1019-5149.JTN.46931-24.1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
To describe the strategies and techniques to improve the outcomes in intracranial hemorrhage during endovascular procedures, a case of a 60-year-old male with symptomatic basilar artery stenosis who underwent balloon angioplasty procedure following an iatrogenic basilar artery hemorrhage, is presented. Hemorrhage control and vessel wall reconstruction were achieved with heparin reversal, intermittent balloon inflation, and telescoping stents. In addition, immediate external ventricular drainage was able to control the intracranial hypertension. In conclusion, the ruptured of intracranial vessels is usually challenging to treat. Intermittent balloon inflation with telescoping stents can help stop bleeding.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
