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Vertebral artery dissection complicated by basilar artery occlusion successfully treated with intra-arterial thrombolysis: three case reports |
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| Authors: | Paolo Cerrato Maurizio Berardino Edo Bottacchi Giovanni Corso Alessandra Lentini Giovanni Bosco Eleonora Destefanis Mariagiovanna Caprioli Dino Daniele Gianni Boris Bradac Mauro Bergui |
| Institution: | (1) Department of Neuroscience, University of Turin San Giovanni Battista Hospital, Via Cherasco 15, 10126 Turin, Italy;(2) Neuro-Intensive Care Unit Department of Neuroscience, University of Turin, Turin, Italy;(3) Division of Neurology, Aosta Regional Hospital, Aosta, Italy;(4) Service of Neuroradiology Department of Neuroscience, University of Turin, Turin, Italy |
| Abstract: | Cervical artery dissection is an important cause of stroke in young patients and accounts of 10%–20% of stroke or TIA in patients aged less than 50 years. Basilar artery occlusion (BAO) is an infrequent cause of acute stroke, which invariably leads to death or long-term disability if not recanalized. We describe three patients with BAO caused by vertebral dissection, successfully treated with intra-arterial thrombolysis. The lysis of the occluding embolus was obtained by injection of the thrombolytic drug directly or near the thrombus without haemor-rhagic complications. Our cases confirm the safety and efficacy of intra-arterial thrombolysis in patients with BAO due to a vertebral artery dissection. |
| Keywords: | Arterial dissection Stroke Thrombolysis |
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