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Successful results,without complications,were obtained in eight patients, with complete resolution of vertebrobasilar ischaemic symptoms.Immediate complications occurred in four patients including two with vessel dissection,and two with thromboembolism.The two patients with acute arterial dissection were reoperated but developed small infarctions with permanent neurological deficits.The two patients with thromboembolic complication showed transient neurological deficit.The overall stenosis ratio decreased from a mean of 84%pretreatment to 44%after the angioplasty procedure.Restenosis occurred in two patients.Long term clinical follow up in 11 patients who survived more than six months showed resolution of ischaemic symptoms after PTA in all except for one with a restenosis who had recurrent transient ischaemic attacks.Transluminal angioplasty may be an effective procedure to treat vertebrobasilar ischaemia secondary to high grade arteriosclerotic disease affecting either the distal vertebral or basilar artery regions that do not respond to medical treatment. |
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arterial dissection atheromatous branch disease,intracranial basilar artery basilar artery stenosis cerebrovascular accident endovascular therapy iatrogenic neurologic disorders neuroradiology,interventional prognosis transluminal angioplasty,basilar artery transluminal angioplasty,intracranial transluminal angioplasty,vertebral artery treatment of neurologic disorder vertebral artery vertebral artery stenosis vertebral-basilar artery,atherosclerosis vertebral-basilar insufficiency
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