Document Detail

Thrombectomy for acute basilar artery occlusion by using double Merci retriever devices and bilateral temporary vertebral artery flow reversal. Technical note.
MedLine Citation:
PMID:  19249927     Owner:  NLM     Status:  MEDLINE    
Basilar artery occlusion is a dramatic clinical event with a high mortality rate if patients are treated by standard medical therapy, including anticoagulation agents. The use of intravenous tissue plasminogen activator or intraarterial thrombolysis recanalizes 30-53 and 64%, respectively, of patients with basilar stroke. Mechanical endovascular treatments allow tailored procedures with quicker results and higher recanalization rates. The authors describe a successful mechanical removal of an obstruction in an acute occlusion of the basilar artery tip involving both proximal segments of posterior cerebral arteries in a 20-year-old man. They used 2 Merci retriever devices at the same time, and performed bilateral proximal vertebral artery occlusion for temporary flow reversal and aspiration.
Frédéric Clarençon; Raphaël Blanc; Sophie Gallas; Hassan Hosseini; André Gaston
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  111     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-02     Completed Date:  2009-08-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  53-6     Citation Subset:  AIM; IM    
Department of Neuroradiology, Faculty of Medicine, APHP-Henri Mondor Hospital, Créteil, France.
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MeSH Terms
Acute Disease
Basilar Artery / radiography,  surgery*
Cerebral Angiography
Cerebrovascular Circulation
Intracranial Embolism / prevention & control*
Thrombectomy / instrumentation*,  methods*
Tomography, X-Ray Computed
Vertebrobasilar Insufficiency / physiopathology,  radiography,  surgery*
Young Adult

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