Leber Stefan L, Fandler-Höfler Simon, Kneihsl Markus, Augustin Michael, Deutschmann Hannes, Gattringer Thomas
Division of Neuroradiology, Vascular and Interventional Radiology, Department of Radiology, Medical University of Graz, Graz, Austria.
Department of Neurology, Medical University of Graz, Graz, Austria.
Front Neurol. 2021 Sep 20;12:698488. doi: 10.3389/fneur.2021.698488. eCollection 2021.
We present the case of a middle-aged patient who had four recurrent acute basilar artery occlusions over a period of 3 months, each time successfully treated with mechanical thrombectomy. Extensive stroke work-up showed no obvious stroke etiology aside from a dysplastic right vertebral artery with multifocal stenoses. Treatment with different antiplatelet and anticoagulant regimes did not prevent basilar artery occlusion recurrence. Therefore, transarterial coil occlusion of the V4-segment of the right vertebral artery was performed as ultima ratio without complications. At final discharge, the patient had no persistent neurological deficits. No further cerebrovascular events occurred over a 12-month follow-up period.
我们报告了一例中年患者的病例，该患者在3个月内出现了4次复发性急性基底动脉闭塞，每次均通过机械取栓术成功治疗。广泛的卒中检查显示，除了右侧椎动脉发育异常并伴有多灶性狭窄外，没有明显的卒中病因。采用不同的抗血小板和抗凝方案治疗未能预防基底动脉闭塞复发。因此，作为最后的手段，对右侧椎动脉V4段进行了经动脉线圈闭塞术，未出现并发症。出院时，患者没有持续的神经功能缺损。在12个月的随访期内未发生进一步的脑血管事件。
