Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery

Stent retriever thrombectomy (SRT) is one of the most effective methods for the recanalization of acute basilar artery occlusion (ABAO). The proatlantal intersegmental artery (PIA) is a rare carotid-vertebrobasilar anastomosis. Recognition of this rare form of anastomosis is particularly important f...

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Main Authors: Lei Zhao, Lijun Yang, Xiaosong Liu, Xiaoliang Wang, Gengshen Zhang, Jianliang Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2022.812458/full
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author Lei Zhao
Lijun Yang
Xiaosong Liu
Xiaoliang Wang
Gengshen Zhang
Jianliang Wu
author_facet Lei Zhao
Lijun Yang
Xiaosong Liu
Xiaoliang Wang
Gengshen Zhang
Jianliang Wu
author_sort Lei Zhao
collection DOAJ
description Stent retriever thrombectomy (SRT) is one of the most effective methods for the recanalization of acute basilar artery occlusion (ABAO). The proatlantal intersegmental artery (PIA) is a rare carotid-vertebrobasilar anastomosis. Recognition of this rare form of anastomosis is particularly important for the rapid establishment of positive blood flow in patients with ABAO. In this case, the patient had a rare, left type 1 PIA. The right vertebral artery (VA) was tenuous and did not enter the cranium. We performed a thrombectomy of the ABAO by inserting a catheter via the type 1 PIA. The complete recanalization of basilar artery (BA) flow was achieved following two stent retractions; however, the patient eventually died of brain stem hemorrhage.
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spelling doaj.art-826d36e81892400babd9b22e5eb57a992022-12-22T00:47:06ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-05-011310.3389/fneur.2022.812458812458Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental ArteryLei ZhaoLijun YangXiaosong LiuXiaoliang WangGengshen ZhangJianliang WuStent retriever thrombectomy (SRT) is one of the most effective methods for the recanalization of acute basilar artery occlusion (ABAO). The proatlantal intersegmental artery (PIA) is a rare carotid-vertebrobasilar anastomosis. Recognition of this rare form of anastomosis is particularly important for the rapid establishment of positive blood flow in patients with ABAO. In this case, the patient had a rare, left type 1 PIA. The right vertebral artery (VA) was tenuous and did not enter the cranium. We performed a thrombectomy of the ABAO by inserting a catheter via the type 1 PIA. The complete recanalization of basilar artery (BA) flow was achieved following two stent retractions; however, the patient eventually died of brain stem hemorrhage.https://www.frontiersin.org/articles/10.3389/fneur.2022.812458/fullproatlantal intersegmental arteryacute basilar artery occlusionthrombectomystrokecase report
spellingShingle Lei Zhao
Lijun Yang
Xiaosong Liu
Xiaoliang Wang
Gengshen Zhang
Jianliang Wu
Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery
Frontiers in Neurology
proatlantal intersegmental artery
acute basilar artery occlusion
thrombectomy
stroke
case report
title Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery
title_full Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery
title_fullStr Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery
title_full_unstemmed Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery
title_short Case Report: Stent Retriever Thrombectomy of Acute Basilar Artery Occlusion via the Type 1 Proatlantal Intersegmental Artery
title_sort case report stent retriever thrombectomy of acute basilar artery occlusion via the type 1 proatlantal intersegmental artery
topic proatlantal intersegmental artery
acute basilar artery occlusion
thrombectomy
stroke
case report
url https://www.frontiersin.org/articles/10.3389/fneur.2022.812458/full
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