Combined Stent Placement and Thrombolysis in Acute Vertebrobasilar Ischemic Stroke
Doris D. M. Lina,
Philippe Gaillouda,
Norman J. Beauchampa,
Eric M. Aldrichb,
Robert J. Witykb and
Kieran J. Murphya
a Section of Interventional Neuroradiology, Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD
b Department of Neurology, Johns Hopkins Hospital, Baltimore, MD
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FIG 1. A 50-year-old man who presented with right medullary syndrome, followed by right hemiparesis, slurred speech, and diplopia 6 days later.
A, Left vertebral angiogram, anteroposterior view, showing a high-grade stenosis of the left vertebral artery origin from the aortic arch.
B, Left vertebral angiogram after placement of an ACS multilink Tristar coronary stent (3 mm in diameter x 30 mm length).
Anteroposterior (C) and lateral (D) views of selective basilar angiogram, showing multiple clots and distal basilar occlusion.
Anteroposterior (E) and lateral (F) views of left vertebral angiogram, showing reperfusion of the posterior circulation after infusion of 14 mg of tPA.
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