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Research ArticleInterventional

Treatment of Acute Vertebrobasilar Occlusion Using Thrombectomy with Stent Retrievers: Initial Experience with 18 Patients

M. Espinosa de Rueda, G. Parrilla, J. Zamarro, B. García-Villalba, F. Hernández and A. Moreno
American Journal of Neuroradiology May 2013, 34 (5) 1044-1048; DOI: https://doi.org/10.3174/ajnr.A3329
M. Espinosa de Rueda
aFrom the Department of Interventional Neuroradiology (M.E.d.R., G.P., J.Z., B.G.-V., F.H., A.M.)
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G. Parrilla
aFrom the Department of Interventional Neuroradiology (M.E.d.R., G.P., J.Z., B.G.-V., F.H., A.M.)
bDepartment of Neurology (G.P.), Hospital Universitario Virgen de la Arrixaca, Murcia, Spain.
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J. Zamarro
aFrom the Department of Interventional Neuroradiology (M.E.d.R., G.P., J.Z., B.G.-V., F.H., A.M.)
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B. García-Villalba
aFrom the Department of Interventional Neuroradiology (M.E.d.R., G.P., J.Z., B.G.-V., F.H., A.M.)
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F. Hernández
aFrom the Department of Interventional Neuroradiology (M.E.d.R., G.P., J.Z., B.G.-V., F.H., A.M.)
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A. Moreno
aFrom the Department of Interventional Neuroradiology (M.E.d.R., G.P., J.Z., B.G.-V., F.H., A.M.)
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Article Figures & Data

Tables

  • Review of published reports about recanalization and outcome of patients with acute vertebrobasilar occlusions treated with thrombolysis and/or thrombectomy

    ReferenceTreatmentNo. of PatientsTICI 2–390-Day mRS 0–2MortalityICH
    Sairanen et al10IVT11664.8%26%41.4%15.7%
    Lindsberg and Mattle8IVT7653%22%52.6%11%
    Lindsberg and Mattle8IAT34465%24%55.2%8%
    Schulte-Altedorneburg et al9IAT18055%26.5%43%32%
    Lutsep et al19IVT ± Merci ± IAT2778%33%44%19%
    Pfefferkorn et al20IVT ± Merci ± TA2685%38%31%8%
    Miteff et al18SR ± IAT ± TA10100%20%33.3%10%
    Costalat et al16IVT + SR1681%44%25%6.2%
    Andersson et al22Merci ± IAT ± SR2896%57%21%10.7%
    Mordasini et al21IVT ± IAT ± TA ± SR14100%28.6%35.7%21.4%
    Our groupSR1894.4%50%22.2%5.5%
    • Note:—IAT indicates intra-arterial thrombolysis; ICH, intracranial hemorrhage; IVT, intravenous thrombolysis; Merci, Merci retriever; TA, thromboaspiration.

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American Journal of Neuroradiology: 34 (5)
American Journal of Neuroradiology
Vol. 34, Issue 5
1 May 2013
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Treatment of Acute Vertebrobasilar Occlusion Using Thrombectomy with Stent Retrievers: Initial Experience with 18 Patients
M. Espinosa de Rueda, G. Parrilla, J. Zamarro, B. García-Villalba, F. Hernández, A. Moreno
American Journal of Neuroradiology May 2013, 34 (5) 1044-1048; DOI: 10.3174/ajnr.A3329

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Treatment of Acute Vertebrobasilar Occlusion Using Thrombectomy with Stent Retrievers: Initial Experience with 18 Patients
M. Espinosa de Rueda, G. Parrilla, J. Zamarro, B. García-Villalba, F. Hernández, A. Moreno
American Journal of Neuroradiology May 2013, 34 (5) 1044-1048; DOI: 10.3174/ajnr.A3329
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  • Equivalent favorable outcomes possible after thrombectomy for posterior circulation large vessel occlusion compared with the anterior circulation: the MUSC experience
  • Outcomes of endovascular treatment of basilar artery occlusion in the stent retriever era: a systematic review and meta-analysis
  • Initial factors affecting the clinical outcome after successful recanalization via MR-based mechanical thrombectomy in patients with acute ischemic stroke due to basilar artery occlusion
  • Outcomes of stent retriever thrombectomy in basilar artery occlusion: an observational study and systematic review
  • The Revascularization Scales Dilemma: Is It Right to Apply the Treatment in Cerebral Ischemia Scale in Posterior Circulation Stroke?
  • Comparison of Solitaire thrombectomy and Penumbra suction thrombectomy in patients with acute ischemic stroke caused by basilar artery occlusion
  • Combined Use of Mechanical Thrombectomy with Angioplasty and Stenting for Acute Basilar Occlusions with Underlying Severe Intracranial Vertebrobasilar Stenosis: Preliminary Experience from a Single Chinese Center
  • Forced Arterial Suction Thrombectomy with the Penumbra Reperfusion Catheter in Acute Basilar Artery Occlusion: A Retrospective Comparison Study in 2 Korean University Hospitals
  • Diffusion-Weighted Imaging Score of the Brain Stem: A Predictor of Outcome in Acute Basilar Artery Occlusion Treated with the Solitaire FR Device
  • Acute Basilar Artery Occlusion: Outcome of Mechanical Thrombectomy with Solitaire Stent within 8 Hours of Stroke Onset
  • Mechanical Thrombectomy with Stent Retrievers in Acute Basilar Artery Occlusion
  • Outcome of Standard and High-Risk Patients With Acute Anterior Circulation Stroke After Stent Retriever Thrombectomy
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  • Clinical Significance of Prehospital Telecommunication Defined as the Critical Stroke Call Pathway in Acute Ischemic Stroke Requiring Intra-Arterial Recanalization Therapy
  • ADC Level is Related to DWI Reversal in Patients Undergoing Mechanical Thrombectomy: A Retrospective Cohort Study
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