open access

Vol 49, No 5 (2015)
Case reports
Submitted: 2014-09-23
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The use of mechanical thrombectomy in the treatment of basilar artery occlusion – case report

Daniel Knap, Maciej Honkowicz, Tomasz Kirmes, Marcin Koroński, Marzena Kysiak, Mateusz Bukański, Dominik Sieroń, Izabela Dymon, Jan Baron
DOI: 10.1016/j.pjnns.2015.07.004
·
Neurol Neurochir Pol 2015;49(5):332-338.

open access

Vol 49, No 5 (2015)
Case reports
Submitted: 2014-09-23

Abstract

Occlusion of the basilar artery (BAO) is a rare cause of stroke, making up approximately 1% of all cases. Ischemic stroke within the basilar artery is associated with serious complications and high mortality (75–91%). BAO may occur initially in the form of mild prodromal symptoms with neurological disorders, the consequences of which can lead to death. For these reasons, BAO requires rapid diagnosis and treatment. We report the case of a 26-year-old man who suffered basilar artery occlusion and was treated with endovascular therapy. The patient was disqualified from intra-venous thrombolysis and endovascular treatment due to exceeding the therapeutic time window. Despite this, due to the location of ischemia and age of the patient, it was decided to proceed with a mechanical thrombectomy (TM). Vessel patency was restored using the Solitaire FR stent. Treatment continued with antiplatelet therapy. Despite a significant overshoot of the time window the procedure was successful and complete recanalization was achieved. During hospitalization, significant neurological symptom reductions were observed. There is no accurate data on which method of treatment of ischemic stroke is best for BAO. Expectations about the effectiveness of endovascular techniques are high.

Abstract

Occlusion of the basilar artery (BAO) is a rare cause of stroke, making up approximately 1% of all cases. Ischemic stroke within the basilar artery is associated with serious complications and high mortality (75–91%). BAO may occur initially in the form of mild prodromal symptoms with neurological disorders, the consequences of which can lead to death. For these reasons, BAO requires rapid diagnosis and treatment. We report the case of a 26-year-old man who suffered basilar artery occlusion and was treated with endovascular therapy. The patient was disqualified from intra-venous thrombolysis and endovascular treatment due to exceeding the therapeutic time window. Despite this, due to the location of ischemia and age of the patient, it was decided to proceed with a mechanical thrombectomy (TM). Vessel patency was restored using the Solitaire FR stent. Treatment continued with antiplatelet therapy. Despite a significant overshoot of the time window the procedure was successful and complete recanalization was achieved. During hospitalization, significant neurological symptom reductions were observed. There is no accurate data on which method of treatment of ischemic stroke is best for BAO. Expectations about the effectiveness of endovascular techniques are high.

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Keywords

Stroke, Interventional radiology, Thrombectomy, Embolectomy

About this article
Title

The use of mechanical thrombectomy in the treatment of basilar artery occlusion – case report

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 49, No 5 (2015)

Pages

332-338

DOI

10.1016/j.pjnns.2015.07.004

Bibliographic record

Neurol Neurochir Pol 2015;49(5):332-338.

Keywords

Stroke
Interventional radiology
Thrombectomy
Embolectomy

Authors

Daniel Knap
Maciej Honkowicz
Tomasz Kirmes
Marcin Koroński
Marzena Kysiak
Mateusz Bukański
Dominik Sieroń
Izabela Dymon
Jan Baron

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