Mechanical thrombolysis of the basilar artery. Report of one case

We report a 40 year-old male presenting in the emergency room with headache, vertigo and left hemiparesis. A magnetic resonante imaging reported a left cerebellar infarction with occlusion of the basilar artery and a dissection of the right vertebral artery. The patient experienced a clinical deteri...

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Bibliographic Details
Published in:Revista medíca de Chile 2013-03, Vol.141 (3), p.388-391
Main Authors: Tevah, José, Mellado, Felipe, Marín, Arnaldo, Mellado, Patricio, Fava, Mario
Format: Article
Language:Spanish
Subjects:
Adult
Basilar Artery
Brain Ischemia - etiology
Brain Ischemia - therapy
Humans
Intracranial Thrombosis - complications
Intracranial Thrombosis - therapy
Male
Mechanical Thrombolysis - instrumentation
Treatment Outcome
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Summary:We report a 40 year-old male presenting in the emergency room with headache, vertigo and left hemiparesis. A magnetic resonante imaging reported a left cerebellar infarction with occlusion of the basilar artery and a dissection of the right vertebral artery. The patient experienced a clinical deterioration with the appearance of a right hemiparesis. Therefore a brain angiography was performed along with a mechanical thrombolysis using a Solitaire FR® revascularization device. A thrombus located in the distal third of the artery was eliminated obtaining a complete perfusión of the artery. The patient had a satisfactory evolution.
ISSN:0717-6163
DOI:10.4067/S0034-98872013000300016