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...
Main Authors: | , , , , , |
---|---|
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 |
_version_ | 1818186735527395328 |
---|---|
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. |
first_indexed | 2024-12-11T22:59:52Z |
format | Article |
id | doaj.art-826d36e81892400babd9b22e5eb57a99 |
institution | Directory Open Access Journal |
issn | 1664-2295 |
language | English |
last_indexed | 2024-12-11T22:59:52Z |
publishDate | 2022-05-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Neurology |
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 |
work_keys_str_mv | AT leizhao casereportstentretrieverthrombectomyofacutebasilararteryocclusionviathetype1proatlantalintersegmentalartery AT lijunyang casereportstentretrieverthrombectomyofacutebasilararteryocclusionviathetype1proatlantalintersegmentalartery AT xiaosongliu casereportstentretrieverthrombectomyofacutebasilararteryocclusionviathetype1proatlantalintersegmentalartery AT xiaoliangwang casereportstentretrieverthrombectomyofacutebasilararteryocclusionviathetype1proatlantalintersegmentalartery AT gengshenzhang casereportstentretrieverthrombectomyofacutebasilararteryocclusionviathetype1proatlantalintersegmentalartery AT jianliangwu casereportstentretrieverthrombectomyofacutebasilararteryocclusionviathetype1proatlantalintersegmentalartery |