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Leber, SL; Fandler-Höfler, S; Kneihsl, M; Augustin, M; Deutschmann, H; Gattringer, T.
Case Report: Four Early Recurrent Basilar Artery Occlusions Successfully Treated With Mechanical Thrombectomy and Subsequent Vertebral Artery Coil Occlusion.
Front Neurol. 2021; 12:698488
Doi: 10.3389/fneur.2021.698488
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- Führende Autor*innen der Med Uni Graz
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Fandler-Höfler Simon
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Leber Stefan
- Co-Autor*innen der Med Uni Graz
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Augustin Michael
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Deutschmann Hannes
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Gattringer Thomas
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Kneihsl Markus
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- Abstract:
- 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.
- Find related publications in this database (Keywords)
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thrombectomy
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stroke
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recurrent stroke
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large vessel occlusion
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basilar artery occlusion
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endovascular treatment (EVT)
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ischemic stroke