Endovascular Therapy for Acute Basilar Artery Occlusion

Hankey, Graeme J.

doi:10.1161/circulationaha.122.060571

Cited by 10 publications

(3 citation statements)

References 19 publications

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“…However, thrombosis of the PPTA remains rare due to its distinctive anatomical characteristics. [ 5 , 21 ] Furthermore, the unusual and underreported association between AF, a common arrhythmia, and cardiogenic embolism leading to PPTA occlusion adds to the diagnostic complexity.…”

Section: Discussionmentioning

confidence: 99%

“…In the acute phase, treatment may involve thrombolysis,[ 3 ] EVT, and antiplatelet aggregation, expanding the spectrum of available choices. [ 5 ]…”

Section: Discussionmentioning

confidence: 99%

“…In the acute phase, treatment may involve thrombolysis, [3] EVT, and antiplatelet aggregation, expanding the spectrum of available choices. [5] Against this backdrop of existing treatments, our case study introduces SWIM as a novel approach to PPTA-related stroke. SWIM aims to mitigate the risk of lingering symptoms and complications observed in prior cases.…”

Section: Discussionmentioning

confidence: 99%

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Successful endovascular thrombectomy using solitaire FR stent with intermediate catheter assisting technique for acute persistent primitive trigeminal artery and basilar artery occlusion: A case report and literature review

Chen,

Deng,

Wang

et al. 2024

Surgical Neurology International

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Background: The persistent primitive trigeminal artery (PPTA) is a persistent embryological carotid-basilar connection. Endovascular thrombectomy (EVT) for hypoplastic PPTA occlusion is a challenge. This case report aims to describe the successful recanalization of simultaneous occlusions in both the PPTA and basilar artery (BA) using the Solitaire FR (RECO SR)/Stent and Intermediate Catheter Assisting (SWIM) technique in a patient with acute cardiogenic cerebral embolism. To the best of our knowledge, this is the first report of such a case. Case Description: We present a case of a 70-year-old female patient who presented with acute right-sided hemiparesis and altered consciousness. Digital subtraction angiography confirmed the occlusion of both the distal portion of the PPTA and the BA. The patient underwent EVT using the SWIM technique, resulting in successful recanalization and significant improvement in the patient’s condition. Conclusion: This case report demonstrates the successful application of the SWIM technique in achieving recanalization and improving outcomes in a patient with simultaneous occlusion of the acute PPTA and BA. These findings support the potential use of EVT in similar cases.

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Section: Discussionmentioning

confidence: 99%

“…In the acute phase, treatment may involve thrombolysis,[ 3 ] EVT, and antiplatelet aggregation, expanding the spectrum of available choices. [ 5 ]…”

Section: Discussionmentioning

confidence: 99%