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Compromise of perforating branches of the basilar artery resulting in brain stem infarctions has been described as a major complication of intracranial stent placement for basilar artery stenosis or after implantation of endovascular flow diverters. Descriptions of pontine arteries are mainly based on examinations of injection specimens; however, there is a lack of consistent presentation of the small branches of the basilar artery in the imaging literature. Therefore, we retrospectively analyzed DSA images and 3D rotational angiography with a review of literature for an imaging definition of microvascular anatomy of the brain stem.

Evaluation of the Pontine Perforators of the Basilar Artery Using Digital Subtraction Angiography in High Resolution and 3D Rotation Technique