Acute Vertebral Artery Origin Occlusion Leading to Basilar Artery Thrombosis Successfully Treated by Angioplasty with Stenting and Intracranial Fibrinolysis.
10.5469/neuroint.2013.8.1.41
- Author:
Noriaki MATSUBARA
1
;
Shigeru MIYACHI
;
Takao KOJIMA
;
Yoshinori NAKAI
Author Information
1. Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan. mnoriaki0817@yahoo.co.jp
- Publication Type:Case Report
- Keywords:
Vertebral artery origin;
Occlusion;
Stroke;
Angioplasty with stenting;
Fibrinolysis
- MeSH:
Angioplasty;
Basilar Artery;
Cerebral Angiography;
Fibrinolysis;
Stents;
Stress, Psychological;
Stroke;
Thrombosis;
Vertebral Artery
- From:Neurointervention
2013;8(1):41-45
- CountryRepublic of Korea
- Language:English
-
Abstract:
There are few reports describing stroke due to the acute occlusion of the vertebral artery (VA) origin successfully treated by endovascularily. The authors report a case of 78-year-old man suffering from stroke owing to acute VA origin occlusion associated with contralateral hypoplastic VA leading to basilar artery (BA) thrombosis. Cerebral angiography demonstrated that the right VA was occluded at its origin, the left VA was hypoplastic, and BA was filled with thrombus. The occlusion of VA origin was initially passed through with a microcatheter and microwire. Hereafter, angioplasty was performed followed by stenting with a coronary stent. The VA origin was successfully recanalized. Next, a microcatheter was navigated intracranially through the stent and fibrinolysis was performed for BA thrombus. The patient's symptoms gradually improved postoperatively. Stroke due to acute VA origin occlusion leading to BA thrombosis was successfully treated by angioplasty and stenting followed by intracranial fibrinolysis.
