@article{oai:nagasaki-u.repo.nii.ac.jp:00015207,
 author = {Hiu, Takeshi and Hayashi, Kentaro and Kitagawa, Naoki and Tsutsumi, Keisuke and Horie, Nobutaka and Morikawa, Minoru and Honda, Masaru and Suyama, Kazuhiko and Nagata, Izumi},
 issue = {10},
 journal = {Clinical neurology and neurosurgery},
 month = {Dec},
 note = {Percutaneous transluminal angioplasty with stenting (PTA/stenting) for intracranial atherosclerotic stenoses is usually performed without any protection devices. We report a unique case of atherothrombotic stenosis with the vulnerable plaque in the cavernous portion of the internal carotid artery (ICA), which was successfully treated by PTA/stenting under cerebral protection with the flow reversal system. A 68-year-old woman presented repetitive transient ischemic attacks in the right ICA territory. Cerebral angiography revealed 80% stenosis in the cavernous portion of the right ICA. High-resolution magnetic resonance imaging (HR-MRI) demonstrated lipid-rich plaques at this lesion. PTA/stenting was performed with a proximal protection device under flow reversal. A filter device captured much amount of atherothrombotic debris with lipid-rich macrophages and leukocytes, which was consistent with HR-MRI findings. Some selected cases of intracranial atherothrombotic ICA stenoses may need endovascular treatment with cerebral protection system. HR-MRI is useful to evaluate plaque characteristics even in the cavernous portion of the ICA., Clinical neurology and neurosurgery, 110(10), pp.1031-1034; 2008},
 pages = {1031--1034},
 title = {Intracranial internal carotid artery stenosis with vulnerable plaques successfully treated by stenting under cerebral protection.},
 volume = {110},
 year = {2008}
}