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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 (- Case Report) [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Fandler-Höfler Simon
Leber Stefan
Co-Autor*innen der Med Uni Graz
Augustin Michael
Deutschmann Hannes
Gattringer Thomas
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)
thrombectomy
stroke
recurrent stroke
large vessel occlusion
basilar artery occlusion
endovascular treatment (EVT)
ischemic stroke
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