Journal article
Hybrid Retrograde-Antegrade Recanalization of Acute Basilar Artery Occlusion
Interventional neurology, Vol.6(3-4), pp.263-267
10/2017
DOI: 10.1159/000479704
PMCID: PMC5662970
PMID: 29118804
Abstract
Acute basilar artery (BA) occlusion has a very poor prognosis. Recanalization can be challenged by bilateral vertebral artery (VA) occlusions, arterial dissection, or advanced atherosclerotic disease. We describe a case in whom the BA was accessed and recanalized through a retrograde-antegrade approach from the anterior circulation using a large posterior communicating artery (PCOM). Once the BA had been crossed retrogradely through the PCOM, another microcatheter was advanced antegradely through the VA into the BA and right posterior cerebral artery using the “buddy-wire” technique. In this way the BA was recanalized and reconstructed with stents. This technical note demonstrates a new approach to BA treatment when the antegrade access is hampered by advanced VA/BA disease or dissection.
Details
- Title: Subtitle
- Hybrid Retrograde-Antegrade Recanalization of Acute Basilar Artery Occlusion
- Creators
- James D Rossen - Department of Cardiovascular Medicine, Neurosurgery, and Neurology, University of Iowa Carver College of Medicine, Iowa City, Iowa City, USAEdgar A Samaniego - Department of Neurology, Neurosurgery, and Radiology, University of Iowa Carver College of Medicine, Iowa City, Iowa City, USAMishelle Paullus - Division of Neurointerventional Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USASantiago Ortega-Gutierrez - Department of Neurology, Neurosurgery, and Radiology, University of Iowa Carver College of Medicine, Iowa City, Iowa City, USA
- Resource Type
- Journal article
- Publication Details
- Interventional neurology, Vol.6(3-4), pp.263-267
- Publisher
- S. Karger AG
- DOI
- 10.1159/000479704
- PMID
- 29118804
- PMCID
- PMC5662970
- ISSN
- 1664-9737
- eISSN
- 1664-5545
- Language
- English
- Date published
- 10/2017
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery; Internal Medicine
- Record Identifier
- 9984072090902771
Metrics
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