Combined external counterpulsation and endovascular stenting treatment for symptomatic vertebrobasilar artery stenosis: Two case reports

L. Xiong, Xiangyan Chen, T.W. Hong Leung, L.K. Sing Wong

Research output: Journal article publicationJournal articleAcademic researchpeer-review

Abstract

© The Author 2015.Symptomatic vertebrobasilar artery (VBA) stenosis has a poor prognosis. Intravascular stents provide a new therapeutic approach, but the long-term outcome of stenting compared with medical outcome is controversial. External counterpulsation (ECP) is a noninvasive method to improve perfusion of vital organs. We report two cases of this combination with ECP treatment in addition to receiving endovascular stenting. Two patients experienced posterior ischemic stroke. Digital subtraction angiography revealed a severe basilar or vertebral artery stenosis. Computed tomographic perfusion revealed significantly decreased perfusion of posterior artery territories. Both of them underwent combined ECP treatment and endovascular stenting of the stenosed basilar or vertebral artery, without recurrent stroke within 30 days after stenting. The two patients were independent (modified Rankin scale ?2) at the 12-month follow-up time. Combined ECP treatment and endovascular stent placement may be effective and safe for patients with symptomatic VBA stenosis who failed aggressive medical treatment.
Original languageEnglish
Pages (from-to)333-336
Number of pages4
JournalOxford Medical Case Reports
Volume2015
Issue number10
DOIs
Publication statusPublished - 1 Oct 2015
Externally publishedYes

ASJC Scopus subject areas

  • Parasitology
  • Microbiology
  • Infectious Diseases

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