Gusler Matthew, Razavi Seyed-Mostafa, Grossman Aaron, Prestigiacomo Charles, Mowla Ashkan, Shirani Peyman
Department of Neurology, University of Virginia, Charlottesville, VA, USA.
Department of Neurology, University of New Mexico, Albuquerque, NM, USA.
Brain Circ. 2023 Jun 30;9(2):103-106. doi: 10.4103/bc.bc_79_22. eCollection 2023 Apr-Jun.
The authors present a case of a patient with a hypoplastic right vertebral artery (VA) ending in the posterior inferior cerebellar artery who sustained an acute onset basilar artery occlusion. A balloon-guided catheter was used to proximally occlude the dominant left VA, and aspiration was applied until reversal of flow was achieved in the basilar artery. Thus, basilar artery reperfusion was achieved without the need for stent-retrieval thrombectomy. We believe this represents the first described case of successful thrombectomy in the vertebrobasilar system using only proximal artery occlusion and aspiration. This novel technique may decrease the time to recanalization and improve outcomes for patients with acute basilar artery occlusion in the setting of a hypoplastic contralateral VA.
作者报告了一例右椎动脉发育不全并终止于小脑后下动脉的患者，该患者发生急性基底动脉闭塞。使用球囊引导导管近端闭塞优势侧左椎动脉，并进行抽吸，直至基底动脉血流逆转。因此，无需使用支架取栓术就实现了基底动脉再灌注。我们认为这是首次描述的仅使用近端动脉闭塞和抽吸在椎基底系统成功进行取栓的病例。这种新技术可能会缩短再通时间，并改善对侧椎动脉发育不全情况下急性基底动脉闭塞患者的治疗效果。
