Endovascular treatment of basilar artery occlusion by manual aspiration thrombectomy

被引:19
作者
Jankowitz, Brian T. [2 ]
Aleu, Aitziber [1 ]
Lin, Ridwan [1 ]
Jumaa, Mouhammad [1 ]
Kanaan, Hilal [2 ]
Kostov, Dean [2 ]
Hammer, Maxim [1 ]
Uchino, Ken [1 ]
Wechsler, Larry R. [1 ]
Horowitz, Michael [2 ]
Jovin, Tudor G. [1 ]
机构
[1] Univ Pittsburgh, Med Ctr, Dept Neurol, Stroke Inst, Pittsburgh, PA 15218 USA
[2] Univ Pittsburgh, Med Ctr, Dept Neurosurg, Pittsburgh, PA 15218 USA
关键词
IMPROVES MYOCARDIAL REPERFUSION; INTRAVENOUS THROMBOLYSIS; ACUTE STROKE; PLASMINOGEN-ACTIVATOR; CLOT REMOVAL; TRIAL; INTRAARTERIAL; THROMBOASPIRATION; RECANALIZATION; ANGIOPLASTY;
D O I
10.1136/jnis.2009.001420
中图分类号
R445 [影像诊断学];
学科分类号
100207 ;
摘要
Background and purpose Basilar artery occlusion remains one of the most devastating subtypes of stroke. Intravenous and intra-arterial therapy have altered the natural history of this disease; however, clinical results remain poor. Therefore, exploring more aggressive and innovative management is warranted. Methods Six consecutive patients presenting with a basilar artery occlusion were treated with the same general algorithm of intra-arterial tissue plasminogen activator and mechanical thrombectomy with the Merci retrieval system. If complete recanalization was not achieved after two passes, manual syringe aspiration through a 4.3F catheter was employed. Results All interventions utilizing aspiration thrombectomy resulted in recanalization, with five out of six cases displaying TIMI3/TICI3 flow and one patient resulting in complete recanalization of the basilar artery with persistent thrombus in one P2 segment (TIMI2/TICI2B). All patients survived, with five out of six independent in activities of daily living at 3 months (mRS 0-2). Conclusions Our small case series indicates that aspiration thrombectomy performed manually through a 4.3F catheter can facilitate recanalization of basilar artery occlusion with acceptable clinical outcomes.
引用
收藏
页码:110 / 114
页数:5
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