scholarly journals Endovascular Treatment for Basilar Artery Occlusion Caused by Radiation-induced Vertebral Artery Stenosis: Case Report

2018 ◽  
Vol 12 (5) ◽  
pp. 247-253
Author(s):  
Kazuhiko Tokumura ◽  
Yoshiro Ito ◽  
Toshitsugu Terakado ◽  
Tomoji Takigawa ◽  
Aiki Marushima ◽  
...  
2019 ◽  
Vol 08 (04) ◽  
pp. 233-237
Author(s):  
Binh Phung ◽  
Trusha Shah

AbstractVertebral artery dissection (VAD) followed by basilar artery occlusion/stroke (BAO/BAS) is a rare but potentially life-threatening complication. We present a case report of a 7-year-old boy with VAD complicated by BAO/BAS 4 days after falling off a scooter. Symptoms included left-sided weakness and facial droop preceded by a 20-minute episode of altered sensorium. Magnetic resonance imaging showed ischemic changes in the left posterior inferior cerebellum and right pons. Computed tomography angiogram confirmed dissection of the left vertebral artery with occlusion/thrombosis of the basilar artery. Heparinization for 96 hours, followed by 6 months of low-molecular weight heparin injection, resulted in improvement of his neurological symptoms.


2014 ◽  
Vol 7 (12) ◽  
pp. 864-867 ◽  
Author(s):  
Diogo C Haussen ◽  
Sushrut S Dharmadhikari ◽  
Brian Snelling ◽  
Vasileios-Arsenios Lioutas ◽  
Ajith Thomas ◽  
...  

2019 ◽  
Vol 46 (Suppl_1) ◽  
pp. V5 ◽  
Author(s):  
Leonardo Rangel-Castilla ◽  
Giuseppe Lanzino

In elderly patients with acute ischemic stroke, tortuosity of the proximal vertebral artery makes access from the transfemoral route challenging and time consuming. In such cases, a transradial approach (TA) offers a more direct vertebral artery (VA) access that overcomes proximal VA tortuosity. In this video the authors illustrate nuances of the TA for acute basilar artery occlusion in two patients with challenging proximal VA anatomy. Techniques, devices, and pitfalls are discussed. In both patients, mechanical clot retrieval was successful and resulted in significant recovery of function. The authors believe that the TA should be the initial approach for basilar artery (BA) occlusion management in elderly patients and should be considered for selected patients with other conditions requiring endovascular treatment.The video can be found here: https://youtu.be/_Ym9tMKUy_4.


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