Endovascular treatment combined with vertebral artery endarterectomy for patients with acute tandem vertebrobasilar artery occlusion |
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| Affiliation: | 1. Department of Radiology, Clinical Medical College of Shanghai Tenth People’s Hospital of Nanjing Medical University, No. 301 Yanchang Road, Shanghai 200072, China;2. Department of Vascular and Interventional Radiology, Nanjing First Hospital, Nanjing Medical University, No. 68 Changle Road, Nanjing 210006, Jiangsu, China;3. Department of Interventional Radiology, Northern Jiangsu People’s Hospital, Clinical Hospital of Nanjing Medical University, No. 98 Nantong Road, Yangzhou 225001, Jiangsu, China;4. Department of Vascular Surgery, Northern Jiangsu People’s Hospital, Clinical Hospital of Nanjing Medical University, No. 98 Nantong Road, Yangzhou 225001, Jiangsu, China;1. Department of Neurological Surgery, University of California, San Francisco, CA, USA;2. Department of Radiology, University of California, San Francisco, CA, USA;3. Departments of Neurology and Pediatrics, University of California, San Francisco, CA, USA;4. Department of Neurosurgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, AZ, USA;5. Department of Neurosurgery, Baylor College of Medicine Medical Center, Houston, TX, USA;1. Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China;2. School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China;1. Department of Orthopaedics, Nagoya University Graduate School of Medicine, Aichi, Japan;2. Department of Orthopedic Surgery, Konan Kosei Hospital, Konan, Japan;1. Department of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China;2. Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;3. Neurosciences Center, Chinese Academy of Medical Sciences, Beijing 100730, China |
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| Abstract: | PurposeTo evaluate the safety and efficacy of endovascular treatment combined with vertebral artery endarterectomy in patients with acute tandem vertebrobasilar artery occlusion.MethodsFrom April 2017 to March 2019, three patients with acute basilar artery occlusion combined with ostial vertebral occlusion in our institution were enrolled in the study. They underwent endovascular treatment combined with vertebral artery endarterectomy. The clinical, technical and functional outcomes of the patients were retrospectively analysed.ResultsAll three patients in the study underwent complete recanalization. The modified Thrombolysis in Cerebral Infarction (mTICI) grade was 2b/3 in all patients. The modified Rankin Scale (mRS) score was 0–2 for the three patients at 3 months. Follow-up CT scans revealed no cerebral haemorrhage, and no patients died during follow-up. All patients achieved good clinical outcomes after the combined treatment.ConclusionEndovascular treatment combined with vertebral artery endarterectomy is a feasible method to treat patients with acute basilar artery occlusion combined with ostial vertebral occlusion, especially when the guidewire cannot pass through the ostium of the dominant vertebral artery occlusion. |
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| Keywords: | Tandem Vertebral artery occlusion Basilar artery occlusion Endovascular treatment Vertebral artery endarterectomy |
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