Intracranial Vertebral Artery Critical Stenosis Stenting — Fantastic Collaterals

With Vera Sharashidze, M.D.

Presenting with progressive decline in consciousness and mild weakness

Fantastic MCA-ACA-PCA leptomeningeal collaterals — enough to backfill the basilar… 🙂 how amazing is that — sometimes

The top images below and the bottom VR images above were obtained before stenting, but after IV integrilin administration. Compare with the DSA pair above — before integrilin. See there is some clot just above the stenosis — that was contributing to acute decline. Ingrilin helps reopen the artery as long as there is clot to dissolve there.

Onyx 3.5×8 stent