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  • Perkutana transluminalna angioplastika vertebralne arterije v zdravljenju vertebrobazilarne insuficience = Percutaneous transluminal angioplasty in therapy of vertebrobasilar insufficiency
    Šeruga, Tomaž
    Background and methods. Percutaneous transluminal angioplasty (PTA) in atherosclerotic occlusive disease is nowadays treatment of choice in peripheral circulation. This method is not so commonly used ... in therapy of supraaortic arteries because of the potential risk of complication like microembolization of the posterior cerebral circulation. Diagnostic angiography of vertebral artery can be of a significant risk, especialy in a simptomatic patient, that already had recurrent transient ishemic atack and stroke. Spiral CT angiography of vertebral artery was performed and there was a 2.5 cm long 90% vertebral artery stenosis at the origin of the right vertebral artery. On CT scan the stenosis was relatively smooth and of homogenous densitiy. Left sided vertebral artery was hipoplastic but without astenosis. Results. DSA angiography was performed to confirm the CTA finding. We decided to do the angioplasty. There were no complications in form of embolic episodes and no neurological deficits due to brain ishemia during the short time of the baloon inflation. The patient did well and subsequently thare was a significant improvement in his neurological status. Conclusions. Successful PTA of vertebral artery can significantly improve hemodynamic conditions of the posterior circulation and abolish the symptoms of vertebrobasilar insufficiency.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 68, št. 3, mar. 1999, str. 161-163)
    Vrsta gradiva - članek, sestavni del ; neleposlovje za odrasle
    Leto - 1999
    Jezik - slovenski
    COBISS.SI-ID - 9989593

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