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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 23:282-284, February 2002
© 2002 American Society of Neuroradiology

Case Report
INTERVENTIONAL

Thromboaspiration in the Basilar Artery: Report of Two Cases

René Chapot^a, Emmanuel Houdart^a, André Rogopoulos^b, Charbel Mounayer^a, Jean-Pierre Saint-Maurice^a and Jean-Jacques Merland^a

^a Department of Interventional Neuroradiology, Hôpital Lariboisière, Paris France
^b Department of Radiology, Institut Arnault Tzanck, Saint-Laurent du Var, France

Address reprint request to René Chapot, Department of Interventional Neuroradiology, Hôpital Lariboisière, 1 rue Ambroise Paré, 75475 Paris Cedex 10, France

Summary: Recanalization of the basilar artery is not always achieved with intraarterial fibrinolysis. We report two cases of thromboaspiration in the basilar artery in which recanalization with fibrinolysis was successful. Thromboaspiration requires favorable anatomy and a fresh nonadhesive clot. It reduces the time for recanalization, has no hemorrhagic risk, and may prevent distal clot migration. Thromboaspiration may be attempted as an adjunct or alternative to intraarterial fibrinolysis for basilar artery recanalization.

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