Intracranial Stenting ICA (INTERNAL CAROTID ARTERY)
A 60-year-old female patient presented with recurrent TIAs due to right ICA stenosis in its intracranial course involving the Cavernous portion (arrow, A). Hypoperfusion was evident in intracranial vasculature (curved arrow, A). TIAs continued inspite of anti-platelet therapy. Under general anesthesia, intracranial stenting was performed using a stent resulting in almost complete recanalization of the ICA (arrow, B) with improvement n cranial blood flow.
Basilar Artery Stenting
A 42-year old male presented with recurrent episodes of giddiness and falls due to severe stenosis of basilar artery. Stent assisted stenting was done with recanalization of basilar artery. Patients symptoms disappeared completely.
Basilar Artery Stenting
A 68 year old dyslipidemic, diabetic and hypertensive male had complains of giddiness and tendency to fall towards right side. O/E he had b/l cerebellar signs. MRI revealed small infarcts in B/l cerebellar hemispheres. MRA and DSA revealed a tight narrowing of lower basilar artery with occlusion of right vertebral artery . Under general anesthesia angioplasty was performed of the stenotic segment followed by stent placement resulting in significant recanalization of basilar artery. Patient made uneventful recovery with improvement in the feeling of instability. At 3-year follow-up patient is symptom free.
