Primary Endovascular Therapy with Clot Retrieval and Balloon Angioplasty for Acute Basilar Artery OcclusionZaidat O.O. · Tolbert M. · Smith T.P. · Alexander M.J.
Divisions of aInterventional Neuroradiology and bNeurosurgery, Duke University Medical Center, Durham, N.C., USA
This case report demonstrates that mechanical clot disruption and retrieval may be performed safely and successfully in a child with basilar artery (BA) thrombosis. A 16-year-old boy presented to our institution with locked-in syndrome 20 h after symptom onset. Brain MRI and cerebral angiography findings were consistent with BA occlusion. The child underwent endovascular therapy with clot retrieval followed by balloon angioplasty achieving immediate recanalization and clinical recovery on 3-month follow-up. This case highlights the use of primary neurointerventional devices in children with BA occlusion presenting beyond the conventional therapeutic window for other interventions.
Michael J. Alexander, MD
Duke Neurovascular Center, Division of Neurosurgery and Department of Radiology
Box 3807, Duke North, Durham, NC 27710 (USA)
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The senior author (M.J.A.) is a consultant for Boston Scientific. No financial or material benefit was received by the authors in the generation of this paper.
Received: October 15, 2004
Accepted after revision: April 10, 2005
Number of Print Pages : 5
Number of Figures : 4, Number of Tables : 0, Number of References : 14
Vol. 41, No. 6, Year 2005 (Cover Date: November-December 2005)
Journal Editor: Frim, D.M. (Chicago, Ill.)
ISSN: 1016–2291 (print), 1423–0305 (Online)
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