Emergent revascularization of acute tandem vertebrobasilar occlusions: Endovascular approaches and technical considerations—Confirming the role of vertebral artery ostium stenosis as a cause of vertebrobasilar stroke

Highlights • Tandem vertebrobasilar occlusions were safely managed with endovascular techniques. • Basilar artery access was via the contralateral (clean-road) or occluded vertebral artery (VA) (dirty-road). • Stentriever-based thrombectomy was via antegrade or reverse revascularization variants. •...

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Veröffentlicht in:	Journal of clinical neuroscience 2016-12, Vol.34, p.70-76
Hauptverfasser:	Cohen, José E, Leker, Ronen R, Gomori, J. Moshe, Eichel, Roni, Rajz, Gustavo, Moscovici, Samuel, Itshayek, Eyal
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Angioplasty Basilar Artery - surgery Basilar artery occlusion Cerebral Revascularization - methods Disability Evaluation Endovascular Procedures - methods Female Humans Intracranial Hemorrhages - etiology Male Middle Aged Neurology Stents Stroke Stroke - etiology Stroke - mortality Tandem occlusion Thrombectomy Thrombolysis Treatment Outcome Vertebral artery occlusion Vertebrobasilar Insufficiency - complications Vertebrobasilar Insufficiency - mortality Vertebrobasilar Insufficiency - surgery
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Zusammenfassung:	Highlights • Tandem vertebrobasilar occlusions were safely managed with endovascular techniques. • Basilar artery access was via the contralateral (clean-road) or occluded vertebral artery (VA) (dirty-road). • Stentriever-based thrombectomy was via antegrade or reverse revascularization variants. • Clinical outcomes seemed to equipoise results for isolated basilar artery occlusion. • These tandem occlusions confirm VA ostium stenosis as a cause of vertebrobasilar stroke.
ISSN:	0967-5868 1532-2653
DOI:	10.1016/j.jocn.2016.05.005