Endovascular recanalization of basilar artery occlusion 80 days after symptom onset.
نویسندگان
چکیده
BACKGROUND AND PURPOSE Acute basilar artery occlusion portends high risk of stroke and death. Thrombolysis or endovascular therapy has been limited to patients who present within hours of symptom onset. Without recanalization, acute basilar artery occlusion almost always results in death or severe disability. SUMMARY OF CASE We report a case of basilar artery occlusion and successful endovascular recanalization 80 days after symptom onset. CONCLUSIONS Endovascular therapy can be feasible and safe for symptomatic basilar artery occlusion at chronic stage.
منابع مشابه
Spontaneous recanalization of the basilar artery with conservative management months after symptom onset
Basilar artery occlusion may be associated with a poor prognosis in the absence of recanalization. Choices in aggressive treatment for this potentially fatal condition vary from intra-arterial or intravenous thrombolysis, endovascular removal, or a combination of the two, with adjunct anti-coagulation therapy. These therapies have proven to be effective in recanalization, whereas conservative m...
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OBJECTIVE This study was conducted to assess the efficacy and safety of endovascular mechanical thrombectomy (EMT) for patients diagnosed with basilar artery (BA) occlusion. MATERIALS AND METHODS We retrospectively analyzed clinical and imaging data of 16 patients diagnosed with BA occlusion who were treated with endovascular intervention from July 2012 to February 2013. Direct suction using ...
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INTRODUCTION We investigated whether thrombus length measured in Computed Tomography Angiography (CTA) is predictive of the success rate of intravenous thrombolysis (IVT) in acute basilar occlusion and whether recanalization can be achieved by additional mechanical endovascular thrombectomy. METHODS In 51 patients with acute basilar thrombosis thrombus length was measured on CTA images before...
متن کاملStaged escalation therapy in acute basilar artery occlusion: intravenous thrombolysis and on-demand consecutive endovascular mechanical thrombectomy: preliminary experience in 16 patients.
BACKGROUND AND PURPOSE The prognosis of acute basilar artery occlusion (BAO) is poor if early recanalization is not achieved. Recanalization strategies include intravenous thrombolysis (IVT) and intra-arterial thrombolysis, as well as endovascular mechanical thrombectomy (EMT). The combination of IVT with consecutive on-demand EMT may allow for early treatment initiation with high recanalizatio...
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عنوان ژورنال:
- Stroke
دوره 38 4 شماره
صفحات -
تاریخ انتشار 2007