16 Journal of Vascular and Interventional Neurology 1 (1) January, 2008 Anterior cerebral artery angioplasty for intracranial atherosclerosis

Abstract

Background: Angioplasty of the intracranial vasculature has
been well described for the middle cerebral artery and carotid
terminus, primarily in the setting of vasospasm following
subarachnoid hemorrhage. Endovascular therapy for anterior
cerebral artery stenosis has not heretofore been described.
Case Report: We report the case of A1 segment angioplasty in
a 77 year old man with presumed intracranial atherosclerosis.
Discussion: The proximal anterior cerebral artery serves the
anterior caudate and lenticular nuclei; blockade produces
motor symptoms. The anterior cerebral artery is smaller than
the middle, making angioplasty more difficult. Anatomical
variants are common.