Document Detail

Adjuvant use of self-expanding stents in acute atherothrombotic vertebrobasilar occlusions.
MedLine Citation:
PMID:  23384507     Owner:  NLM     Status:  Publisher    
Recanalization of acute atherothrombotic vertebrobasilar occlusions is a challenging neuroendovascular procedure. A long angiographic occlusion frequently overestimates the true extent of occlusive plaque. We propose the novel use of the Solitaire stent (ev3 Endovascular, Plymouth, MN, USA) as an adjuvant device in the endovascular management of acute atherothrombotic vertebrobasilar occlusions and present our experience. A self-expanding Solitaire stent is fully deployed, but not detached, along the entire occluded segment, from normal-to-normal arterial segment, to obtain a transient endovascular bypass effect and to obtain clear depiction of the true extent and characteristics of the complicated plaque. The Solitaire stent is then retrieved and a stent with greater radial force and lower porosity is deployed across the occlusion to achieve full revascularization of the vertebral and basilar arteries and branches. This technique allows early revascularization (transient endovascular bypass) and permits a clear definition of the underlying plaque, a crucial step for a safe angioplasty.
José E Cohen; John M Gomori; Eyal Itshayek; Ronen R Leker
Related Documents :
23555477 - Emergent thoracic endovascular aortic repair for acute type-b aortic dissection with ma...
8862377 - Impact of cholesterol reduction on peripheral arterial disease in the program on the su...
505077 - Doppler ultrasound in evaluating the localization and severity of peripheral vascular o...
3203707 - Kinetics and disposition of fluorescein-labelled liposomes in healthy human subjects.
23645477 - Diverse effects of interdialytic intervals on central wave augmentation in haemodialysi...
22070947 - Bovine aortic arch: a novel association with thoracic aortic dilation.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-2
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  -     ISSN:  1532-2653     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
Department of Neurosurgery, Hadassah-Hebrew University Medical Center, P.O. Box 12000, Jerusalem 91120, Israel; Department of Radiology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. Electronic address:
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Stem cell metabolic and spectroscopic profiling.
Next Document:  Haemostasis in neurosurgery: What is the evidence for gelatin-thrombin matrix sealant?