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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Stroke+Vasc+Neurol
2018 ; 3
(1
): 17-21
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Endovascular revascularisation of acute tandem vertebrobasilar artery occlusion:
seven case series with literature reviews
#MMPMID29600003
Yang H
; Ma N
; Zhang S
; Huo X
; Gao F
; Sun X
; Mo D
; Miao Z
Stroke Vasc Neurol
2018[Mar]; 3
(1
): 17-21
PMID29600003
show ga
BACKGROUND: The outcome of acute ischaemic stroke due to tandem vertebrobasilar
artery occlusion was poor. Endovascular revascularisation may be a positive
approach for acute basilar artery occlusion combined with vertebral ostium
stenosis or occlusion. We reported seven patients with acute vertebrobasilar
tandem occlusion by using angioplasty or stenting for proximal lesion and
thrombectomy for distal occlusion. MATERIALS AND METHODS: Consecutive patients
with acute tandem vertebrobasilar artery occlusion at two centres were included
in this study. We retrospectively analysed the clinical, technical and functional
outcomes of the patients. RESULTS: From March 2016 to March 2017, seven patients
were included. The mean age and National Institute of Health Stroke Scale score
at admission was 57 years and 22, respectively. A reverse approach was used in
five patients. The Thrombolysis in Cerebral Infarction score 2b-3 was acquired in
all patients. There were no procedural complications. The modified Rankin Scale
score was 1-2 for three patients and 4 for one patient at 3?months. Three
patients died at 3?months of follow-up. CONCLUSIONS: Endovascular
revascularisation may be feasible for acute tandem vertebrobasilar artery
occlusion, and more researches are needed.