OBJECTIVE: Recent advances in stent technology have allowed the introduction of more flexible stents that may be tracked more easily in the intracranial vessels. We present a @entity1 with improved cerebral blood flow and metabolism as assessed by positron emission tomography after stent-assisted angioplasty for symptomatic @entity9085 . CLINICAL PRESENTATION: A 62-year-old @entity1 , who had undergone left superficial temporal artery to middle cerebral artery bypass surgery for left internal carotid artery occlusion 10 years previously, presented with @entity1296 , @entity227 , and @entity2414 . Angiography revealed severe @entity850 of the proximal basilar artery. Positron emission tomographic scans revealed decreased cerebral blood flow associated with increased @entity26 extraction fraction in the entire brain, particularly in the posterior circulation and the left middle cerebral artery territory. Despite medical treatment, the @entity1 experienced worsening @entity227 and right-sided motor weakness. INTERVENTION: @entity1396 and @entity117 were used as antiplatelet agents. In addition, we used argatroban, which is a direct @entity556 inhibitor, as an anticoagulant during the procedure. Predilation with a coronary artery balloon was performed, followed by placement of a GFX 3- by 8-mm stent (Arterial Vascular Engineering, Santa Rosa, CA), with excellent angiographic results. The @entity1 made a good neurological recovery, and the postoperative positron emission tomographic scan demonstrated increases in both cerebral blood flow and cerebral metabolic rate of @entity26 with a normalization of @entity26 extraction fraction. CONCLUSION: Stent-assisted angioplasty can provide a favorable clinical course as well as improved cerebral perfusion and metabolism for a @entity1 with @entity9085 . Long-term follow-up data and additional clinical experience are required to assess the durability of this approach.

Improved cerebral perfusion and metabolism after stenting for XXXX : technical case report.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity227 :: ('MESH:D014786', 'Disease') :: ['visual disturbance', 'blurred vision'] @entity850 :: ('MESH:D003251', 'Disease') :: ['stenosis'] @entity1396 :: ('MESH:D013988', 'Chemical') :: ['Ticlopidine'] @entity556 :: ('2147', 'Gene') :: ['thrombin'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity117 :: ('MESH:D001241', 'Chemical') :: ['aspirin'] @entity9085 :: ('MESH:D014715', 'Disease') :: ['basilar artery stenosis'] @entity1296 :: ('MESH:D004244', 'Disease') :: ['dizziness'] @entity2414 :: ('MESH:D008569', 'Disease') :: ['memory disturbance']
@entity9085 :: (MESH:D014715,Disease) :: ['basilar artery stenosis']
