Khilchuk Anton A, Agarkov Maksim V, Vlasenko Sergey V, Scherbak Sergey G, Sarana Andrey M, Lebedeva Svetlana V
Department of Interventional Radiology, City Hospital №40, Borisova str. 9, Sestroretsk, Saint-Petersburg, 197706, Russian Federation.
Medical Faculty, Saint-Petersburg State University, Universitetskaya emb. 7-9, Saint-Petersburg, 199034, Russian Federation.
Radiol Case Rep. 2018 Mar 2;13(2):475-478. doi: 10.1016/j.radcr.2018.02.008. eCollection 2018 Apr.
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.
先进的血管内技术使介入放射科医生能够在急性缺血性卒中的情况下利用新颖的基底动脉再通方法，尤其是在常规方法不可行时。几位作者描述了在基底动脉和大脑中动脉闭塞导致的急性缺血性卒中中采用非标准的血管再通技术，并取得了完全的技术和临床成功。在本报告中，我们介绍了使用左后交通动脉进行右椎动脉逆行再通，随后对右椎动脉开口进行顺行球囊血管成形术和支架置入，最终实现椎基底动脉血流完全恢复的病例。该病例强调了动脉血栓形成事件的复杂性、血管内介入在椎动脉闭塞中的有益作用，以及开展前瞻性研究以确定治疗大血管闭塞所致椎基底动脉卒中的最佳方法及其有效性和安全性的必要性。
