Use of balloon angioplasty for patients with intracranial large atherosclerotic acute ischemic stroke and cerebral cavernous malformation: a case report

Thus far, clinical data relating to the treatment of cerebral cavernous malformation (CCM) patients with acute stroke (AIS) are incredibly scare due to the low incidence of CCM. Furthermore, the safety profile of using tissue plasminogen activator, the only drug approved for AIS treatment within 4.5...

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Main Authors: Yiwan Wang, Tianyu Wang, Jiangmin Liang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Neurology
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Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2025.1500451/full
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author Yiwan Wang
Tianyu Wang
Jiangmin Liang
author_facet Yiwan Wang
Tianyu Wang
Jiangmin Liang
author_sort Yiwan Wang
collection DOAJ
description Thus far, clinical data relating to the treatment of cerebral cavernous malformation (CCM) patients with acute stroke (AIS) are incredibly scare due to the low incidence of CCM. Furthermore, the safety profile of using tissue plasminogen activator, the only drug approved for AIS treatment within 4.5 h, remains controversial in patients with CCM. Recently, balloon angioplasty has been reported as a successful treatment for intracranial large atherosclerotic AIS patients. In our department, we treated a patient with intracranial large atherosclerotic AIS and CCM using balloon angioplasty, resulting in a positive outcome. Here, we discuss the safety and efficiency of balloon angioplasty for the treatment of intracranial large atherosclerotic AIS in patients with CCM. In conclusion, we suggest that balloon angioplasty may be a potentially safe and effective treatment for intracranial large atherosclerotic AIS patients with CCM. However, further research is needed to explore the use of mechanical revascularization in AIS patients with CCM.
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spelling doaj-art-fdf13b8ddb34488eaa66e245c67b3e7b2025-01-22T05:19:37ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-01-011610.3389/fneur.2025.15004511500451Use of balloon angioplasty for patients with intracranial large atherosclerotic acute ischemic stroke and cerebral cavernous malformation: a case reportYiwan Wang0Tianyu Wang1Jiangmin Liang2Department of Emergency, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, ChinaDepartment of Neurology, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, ChinaDepartment of Gastroenterology, Taizhou Central Hospital (Taizhou University Hospital), Taizhou, ChinaThus far, clinical data relating to the treatment of cerebral cavernous malformation (CCM) patients with acute stroke (AIS) are incredibly scare due to the low incidence of CCM. Furthermore, the safety profile of using tissue plasminogen activator, the only drug approved for AIS treatment within 4.5 h, remains controversial in patients with CCM. Recently, balloon angioplasty has been reported as a successful treatment for intracranial large atherosclerotic AIS patients. In our department, we treated a patient with intracranial large atherosclerotic AIS and CCM using balloon angioplasty, resulting in a positive outcome. Here, we discuss the safety and efficiency of balloon angioplasty for the treatment of intracranial large atherosclerotic AIS in patients with CCM. In conclusion, we suggest that balloon angioplasty may be a potentially safe and effective treatment for intracranial large atherosclerotic AIS patients with CCM. However, further research is needed to explore the use of mechanical revascularization in AIS patients with CCM.https://www.frontiersin.org/articles/10.3389/fneur.2025.1500451/fullballoon angioplastyintracranial large atheroscleroticacute strokecerebral cavernous malformationcase report
spellingShingle Yiwan Wang
Tianyu Wang
Jiangmin Liang
Use of balloon angioplasty for patients with intracranial large atherosclerotic acute ischemic stroke and cerebral cavernous malformation: a case report
Frontiers in Neurology
balloon angioplasty
intracranial large atherosclerotic
acute stroke
cerebral cavernous malformation
case report
title Use of balloon angioplasty for patients with intracranial large atherosclerotic acute ischemic stroke and cerebral cavernous malformation: a case report
title_full Use of balloon angioplasty for patients with intracranial large atherosclerotic acute ischemic stroke and cerebral cavernous malformation: a case report
title_fullStr Use of balloon angioplasty for patients with intracranial large atherosclerotic acute ischemic stroke and cerebral cavernous malformation: a case report
title_full_unstemmed Use of balloon angioplasty for patients with intracranial large atherosclerotic acute ischemic stroke and cerebral cavernous malformation: a case report
title_short Use of balloon angioplasty for patients with intracranial large atherosclerotic acute ischemic stroke and cerebral cavernous malformation: a case report
title_sort use of balloon angioplasty for patients with intracranial large atherosclerotic acute ischemic stroke and cerebral cavernous malformation a case report
topic balloon angioplasty
intracranial large atherosclerotic
acute stroke
cerebral cavernous malformation
case report
url https://www.frontiersin.org/articles/10.3389/fneur.2025.1500451/full
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AT tianyuwang useofballoonangioplastyforpatientswithintracraniallargeatheroscleroticacuteischemicstrokeandcerebralcavernousmalformationacasereport
AT jiangminliang useofballoonangioplastyforpatientswithintracraniallargeatheroscleroticacuteischemicstrokeandcerebralcavernousmalformationacasereport