Acta neurochirurgica
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Acta neurochirurgica · Jan 2001
Case ReportsCombined surgery and endovascular stenting for basilar artery stenosis refractory to balloon angioplasty: technical case report.
The authors report a case of symptomatic basilar artery stenosis treated by stenting via the surgically exposed C1 vertebral artery. This case was initially treated by percutaneous transluminal angioplasty via a transfemoral route but resulted in unsatisfactory dilatation. Stenting via a transfemoral route also resulted in failure because of the coiling of the proximal vertebral artery. ⋯ The basilar artery was fully opened by stenting without new neurological deficits. Stenting of the basilar artery via a transfemoral route is not always possible even with newer generation stents if the vertebral artery has elongated tortuous curves. Combined surgery and endovascular stenting is one of the alternatives in such cases including our case.
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Acta neurochirurgica · Jan 2001
Clinical TrialManagement-related morbidity and mortality in unselected aneurysms of the basilar trunk and vertebrobasilar junction.
To analyze the management-related morbidity and mortality in unselected aneurysms of the basilar trunk and vertebrobasilar junction. The secondary objective was to investigate the factors associated with favourable or unfavourable surgical outcome in order to define subgroups for surgical and endovascular treatment. ⋯ Location, aneurysm size and the severity of SAH may help to predict the subgroup which highly benefits from surgical clipping of these rare vascular lesions.
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Acta neurochirurgica · Jan 2001
Case ReportsMigration of pacemaker lead into the spinal venous plexus: case report with special reference to Batson's theory of spinal metastasis.
Migration of a foreign material via venous routes into the spinal canal is a very rare incidence. We report the second case in which a foreign body has migrated into the spinal canal via the venous route. ⋯ We present a case report and review of the literature on migration of foreign material into the spinal canal, factors effecting the flow directions in the spinal veins. This case may be the first evidence that proved Batson's theory of spinal metastases in man.