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Thrombectomy for acute basilar artery occlusion by using double Merci retriever devices and bilateral temporary vertebral artery flow reversal. Technical note.

Abstract : 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.
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Soumis le : vendredi 19 octobre 2012 - 09:06:47
Dernière modification le : mercredi 4 septembre 2019 - 13:52:10

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Frédéric Clarençon, Raphaël Blanc, Sophie Gallas, Hassan Hosseini, André Gaston. Thrombectomy for acute basilar artery occlusion by using double Merci retriever devices and bilateral temporary vertebral artery flow reversal. Technical note.. Journal of Neurosurgery, American Association of Neurological Surgeons, 2009, 111 (1), pp.53-56. ⟨10.3171/2008.11.JNS081035⟩. ⟨hal-00743452⟩

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