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To the Editor:
We read with great interest the article by Yu et al.1 demonstrating the effectiveness of stenting symptomatic basilar artery (BA) stenosis for reducing the risk of recurrent stroke and death. We would like to request clarification of specific issues so that readers, particularly those skilled in neurointerventional procedures, could be aided in decision-making.
The method section inaccurately described the type of wire used to cross the lesion. It is unlikely that high-grade stenosis would be crossed using 0.035-inch wire instead of the standard 0.014-inch microwire. The balloon types that are used for predilatation and the specific coronary stent types are known to affect procedural outcome but were not mentioned. Under, over, or nominal inflation of the stent-mounted balloon were not described. It is unclear how long heparin was administered or the combination of clopidogrel and aspirin following the procedure.
Prior to stenting, there was no description of the …
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