Retrograde thrombectomy of basilar artery thrombus through the posterior communicating artery.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Author(s): Kass-Hout O;Kass-Hout O; Becske T; Becske T
  • Source:
    Journal of neurointerventional surgery [J Neurointerv Surg] 2022 Jun; Vol. 14 (6), pp. 634. Date of Electronic Publication: 2021 Aug 05.
  • Publication Type:
    Case Reports; Journal Article; Video-Audio Media
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101517079 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1759-8486 (Electronic) Linking ISSN: 17598478 NLM ISO Abbreviation: J Neurointerv Surg Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BMJ Publishing Group, c2009-
    • Subject Terms:
      Basilar Artery*/diagnostic imaging ; Basilar Artery*/surgery ; Thrombosis*/diagnostic imaging ; Thrombosis*/surgery; Circle of Willis ; Humans ; Stents ; Thrombectomy ; Treatment Outcome
    • Abstract:
      Transcirculation thrombectomy through the communicating arteries of the circle of Willis has been previously described as a bailout in cases where direct thrombectomy is not feasible.1-3 Here we present a unique case where a retrograde thrombectomy of the proximal basilar artery was performed using the right posterior communicating artery (PCOM) in a patient with bilateral occlusions of the vertebral arteries, believed to be chronic. This was done using a quadriaxial system with multiple concentric catheters to minimize the ledge effect and achieve smooth and safe transition of the catheters from anterior to posterior circulations. A combination of stent retrieval, aspiration and balloon occlusion guide catheters helped retrieve the thrombus, while minimizing emboli in new territory (ENT). The patient had complete resolution of symptoms. The thrombus is believed to be due to stasis at the vertebrobasilar junction and competing flow, hence, the patient was started on anticoagulation. (video 1) neurintsurg;14/6/634/V1F1V1Video 1Disclaimer: this video summarises a scientific article published by BMJ Publishing Group Limited (BMJ). The content of this video has not been peer-reviewed and does not constitute medical advice. Any opinions expressed are solely those of the contributors. Viewers should be aware that professionals in the field may have different opinions. BMJ does not endorse any opinions expressed or recommendations discussed. Viewers should not use the content of the video as the basis for any medical treatment. BMJ disclaims all liability and responsibility arising from any reliance placed on the content.
      Competing Interests: Competing interests: None declared.
      (© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.)
    • Contributed Indexing:
      Keywords: balloon; thrombectomy
    • Publication Date:
      Date Created: 20210806 Date Completed: 20220517 Latest Revision: 20220517
    • Publication Date:
      20231215
    • Accession Number:
      10.1136/neurintsurg-2021-017965
    • Accession Number:
      34353889