Tandem Lesions of the Vertebrobasilar System Treated by Thrombectomy and Vertebral Artery Stenting: A Case Report

OBJECTIVE: There are few reports on endovascular treatment of tandem lesions in the posterior circulation and no consensus on treatment strategies has been reached. We report a case of tandem lesions of basilar artery occlusion and vertebral artery stenosis treated by thrombectomy and vertebral arte...

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Detalles Bibliográficos
Autores principales: Takikawa, Kohei, Doijiri, Ryosuke, Ohyama, Ayane, Sonoda, Takuji, Yamazaki, Naoya, Sato, Mitsunobu, Yokosawa, Michiko, Takahashi, Ken, Sugawara, Takayuki, Kimura, Naoto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370541/
https://www.ncbi.nlm.nih.gov/pubmed/37501893
http://dx.doi.org/10.5797/jnet.cr.2021-0050
Descripción
Sumario:OBJECTIVE: There are few reports on endovascular treatment of tandem lesions in the posterior circulation and no consensus on treatment strategies has been reached. We report a case of tandem lesions of basilar artery occlusion and vertebral artery stenosis treated by thrombectomy and vertebral artery stenting. CASE PRESENTATION: We present the case of a 73-year-old man who developed consciousness disorder and tetraplegia. Head and neck CTA revealed tandem left vertebral artery stenosis and basilar artery occlusion. The patient was treated using a reverse technique, which involves performing thrombectomy first and then vertebral artery stenting, along with Carotid Guardwire PS. Postoperative impairment of consciousness and improvement of tetraplegia were achieved. CONCLUSION: The reverse technique combined with Carotid Guardwire PS may be a useful treatment strategy for tandem lesions in the posterior circulation.

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