Successful retrograde recanalization of acute right dominant vertebral artery occlusion through the left posterior communicating artery in a patient with acute vertebrobasilar ischemic stroke

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Abstract

Advanced endovascular technology and techniques allow interventional radiologists to utilize novel ways of basilar artery recanalization in the setting of acute ischemic stroke, especially when routine approaches are not eligible. Several authors described nonstandard revascularization techniques in acute ischemic strokes due to basilar and middle cerebral arteries occlusions with full technical and clinical success. In this report, we present retrograde right vertebral artery recanalization using left posterior communicating artery for subsequent anterograde balloon angioplasty and stenting of a right vertebral artery ostium followed by full vertebrobasilar blood flow restoration. The case underscores the complexity of arterial thrombotic events, the beneficial role of endovascular intervention in vertebral occlusions and the necessity of prospective studies that identify optimal methods of treating vertebrobasilar stroke due to large vessel occlusions and their effectiveness and safety.
Original languageEnglish
Pages (from-to)475-478
Number of pages4
JournalRadiology Case Reports
Volume13
Issue number2
DOIs
StatePublished - 1 Apr 2018

Keywords

  • Basilar
  • Ischemic
  • Occlusion
  • Recanalization
  • Stroke
  • Vertebral

Cite this

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title = "Successful retrograde recanalization of acute right dominant vertebral artery occlusion through the left posterior communicating artery in a patient with acute vertebrobasilar ischemic stroke",
abstract = "Advanced endovascular technology and techniques allow interventional radiologists to utilize novel ways of basilar artery recanalization in the setting of acute ischemic stroke, especially when routine approaches are not eligible. Several authors described nonstandard revascularization techniques in acute ischemic strokes due to basilar and middle cerebral arteries occlusions with full technical and clinical success. In this report, we present retrograde right vertebral artery recanalization using left posterior communicating artery for subsequent anterograde balloon angioplasty and stenting of a right vertebral artery ostium followed by full vertebrobasilar blood flow restoration. The case underscores the complexity of arterial thrombotic events, the beneficial role of endovascular intervention in vertebral occlusions and the necessity of prospective studies that identify optimal methods of treating vertebrobasilar stroke due to large vessel occlusions and their effectiveness and safety.",
keywords = "Basilar, Ischemic, Occlusion, Recanalization, Stroke, Vertebral",
author = "Khilchuk, {Anton A.} and Agarkov, {Maksim V.} and Щербак, {Сергей Григорьевич} and Сарана, {Андрей Михайлович} and Власенко, {Сергей Васильевич} and Lebedeva, {Svetlana V.}",
year = "2018",
month = "4",
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doi = "10.1016/j.radcr.2018.02.008",
language = "English",
volume = "13",
pages = "475--478",
journal = "Radiology Case Reports",
issn = "1930-0433",
publisher = "Elsevier",
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TY - JOUR

T1 - Successful retrograde recanalization of acute right dominant vertebral artery occlusion through the left posterior communicating artery in a patient with acute vertebrobasilar ischemic stroke

AU - Khilchuk, Anton A.

AU - Agarkov, Maksim V.

AU - Щербак, Сергей Григорьевич

AU - Сарана, Андрей Михайлович

AU - Власенко, Сергей Васильевич

AU - Lebedeva, Svetlana V.

PY - 2018/4/1

Y1 - 2018/4/1

N2 - Advanced endovascular technology and techniques allow interventional radiologists to utilize novel ways of basilar artery recanalization in the setting of acute ischemic stroke, especially when routine approaches are not eligible. Several authors described nonstandard revascularization techniques in acute ischemic strokes due to basilar and middle cerebral arteries occlusions with full technical and clinical success. In this report, we present retrograde right vertebral artery recanalization using left posterior communicating artery for subsequent anterograde balloon angioplasty and stenting of a right vertebral artery ostium followed by full vertebrobasilar blood flow restoration. The case underscores the complexity of arterial thrombotic events, the beneficial role of endovascular intervention in vertebral occlusions and the necessity of prospective studies that identify optimal methods of treating vertebrobasilar stroke due to large vessel occlusions and their effectiveness and safety.

AB - Advanced endovascular technology and techniques allow interventional radiologists to utilize novel ways of basilar artery recanalization in the setting of acute ischemic stroke, especially when routine approaches are not eligible. Several authors described nonstandard revascularization techniques in acute ischemic strokes due to basilar and middle cerebral arteries occlusions with full technical and clinical success. In this report, we present retrograde right vertebral artery recanalization using left posterior communicating artery for subsequent anterograde balloon angioplasty and stenting of a right vertebral artery ostium followed by full vertebrobasilar blood flow restoration. The case underscores the complexity of arterial thrombotic events, the beneficial role of endovascular intervention in vertebral occlusions and the necessity of prospective studies that identify optimal methods of treating vertebrobasilar stroke due to large vessel occlusions and their effectiveness and safety.

KW - Basilar

KW - Ischemic

KW - Occlusion

KW - Recanalization

KW - Stroke

KW - Vertebral

UR - http://www.mendeley.com/research/successful-retrograde-recanalization-acute-right-dominant-vertebral-artery-occlusion-through-left-po

U2 - 10.1016/j.radcr.2018.02.008

DO - 10.1016/j.radcr.2018.02.008

M3 - Article

VL - 13

SP - 475

EP - 478

JO - Radiology Case Reports

JF - Radiology Case Reports

SN - 1930-0433

IS - 2

ER -