Faculty Collaboration Database

Vertebral artery stenting for the treatment of bow hunter's syndrome: report of 4 cases. J Stroke Cerebrovasc Dis 2012 Nov;21(8):908.e1-5

Date

12/31/2011

Pubmed ID

22206692

DOI

10.1016/j.jstrokecerebrovasdis.2011.09.006

Scopus ID

2-s2.0-84868342216 (requires institutional sign-in at Scopus site)   27 Citations

Abstract

Bow hunter's syndrome (BHS) is a rare condition resulting from vertebrobasilar insufficiency secondary to mechanical occlusion or stenosis of the vertebral artery (VA) due to head rotation. Traditionally, surgical intervention with C1-C2 fusion or VA decompression was the mainstay of therapy. Endovascular intervention was rarely performed to treat BHS. We reviewed the neurointerventional database from July 2005 to October 2010 to identify all cases of BHS treated with VA stenting. Here we report clinical, technical, and outcome data for 4 patients with BHS who were treated with VA stenting. In all 4 of these patients, stenting was performed in the V2 segment (C2-C6) of the VA without significant technical difficulties. All patients reported symptomatic relief, and only minor or no residual stenosis was detected by dynamic digital subtraction angiography. Our findings indicate that VA stenting for the treatment of BHS is feasible, safe, and clinically effective. Endovascular techniques might offer an alternative, minimally invasive therapy for the treatment of BHS.

Author List

Darkhabani MZ, Thompson MC, Lazzaro MA, Taqi MA, Zaidat OO

Author

Marc A. Lazzaro MD Associate Professor in the Neurology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aged
Aged, 80 and over
Angiography, Digital Subtraction
Angioplasty
Head Movements
Humans
Male
Middle Aged
Rotation
Stents
Syndrome
Treatment Outcome
Vertebrobasilar Insufficiency