Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery

Stent retriever thrombectomy (SRT) is one of the most effective methods for the recanalization of acute basilar artery occlusion (ABAO). The proatlantal intersegmental artery (PIA) is a rare carotid-vertebrobasilar anastomosis. Recognition of this rare form of anastomosis is particularly important f...

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Autores principales: Zhao, Lei, Yang, Lijun, Liu, Xiaosong, Wang, Xiaoliang, Zhang, Gengshen, Wu, Jianliang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9168035/
https://www.ncbi.nlm.nih.gov/pubmed/35677331
http://dx.doi.org/10.3389/fneur.2022.812458
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author Zhao, Lei
Yang, Lijun
Liu, Xiaosong
Wang, Xiaoliang
Zhang, Gengshen
Wu, Jianliang
author_facet Zhao, Lei
Yang, Lijun
Liu, Xiaosong
Wang, Xiaoliang
Zhang, Gengshen
Wu, Jianliang
author_sort Zhao, Lei
collection PubMed
description Stent retriever thrombectomy (SRT) is one of the most effective methods for the recanalization of acute basilar artery occlusion (ABAO). The proatlantal intersegmental artery (PIA) is a rare carotid-vertebrobasilar anastomosis. Recognition of this rare form of anastomosis is particularly important for the rapid establishment of positive blood flow in patients with ABAO. In this case, the patient had a rare, left type 1 PIA. The right vertebral artery (VA) was tenuous and did not enter the cranium. We performed a thrombectomy of the ABAO by inserting a catheter via the type 1 PIA. The complete recanalization of basilar artery (BA) flow was achieved following two stent retractions; however, the patient eventually died of brain stem hemorrhage.
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spelling pubmed-91680352022-06-07 Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery Zhao, Lei Yang, Lijun Liu, Xiaosong Wang, Xiaoliang Zhang, Gengshen Wu, Jianliang Front Neurol Neurology Stent retriever thrombectomy (SRT) is one of the most effective methods for the recanalization of acute basilar artery occlusion (ABAO). The proatlantal intersegmental artery (PIA) is a rare carotid-vertebrobasilar anastomosis. Recognition of this rare form of anastomosis is particularly important for the rapid establishment of positive blood flow in patients with ABAO. In this case, the patient had a rare, left type 1 PIA. The right vertebral artery (VA) was tenuous and did not enter the cranium. We performed a thrombectomy of the ABAO by inserting a catheter via the type 1 PIA. The complete recanalization of basilar artery (BA) flow was achieved following two stent retractions; however, the patient eventually died of brain stem hemorrhage. Frontiers Media S.A. 2022-05-23 /pmc/articles/PMC9168035/ /pubmed/35677331 http://dx.doi.org/10.3389/fneur.2022.812458 Text en Copyright © 2022 Zhao, Yang, Liu, Wang, Zhang and Wu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Zhao, Lei
Yang, Lijun
Liu, Xiaosong
Wang, Xiaoliang
Zhang, Gengshen
Wu, Jianliang
Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery
title Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery
title_full Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery
title_fullStr Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery
title_full_unstemmed Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery
title_short Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery
title_sort case report: stent retriever thrombectomy of acute basilar artery occlusion via the type 1 proatlantal intersegmental artery
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9168035/
https://www.ncbi.nlm.nih.gov/pubmed/35677331
http://dx.doi.org/10.3389/fneur.2022.812458
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