Thrombectomy for acute basilar artery occlusion by using double Merci retriever devices and bilateral temporary vertebral artery flow reversal. Technical note. - Université de Limoges Accéder directement au contenu
Article Dans Une Revue Journal of Neurosurgery Année : 2009

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

Résumé

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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Dates et versions

hal-00743452 , version 1 (19-10-2012)

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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, 2009, 111 (1), pp.53-56. ⟨10.3171/2008.11.JNS081035⟩. ⟨hal-00743452⟩
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