1,059 results match your criteria Basilar Artery Thrombosis


Analysis of Treatment Outcome After Endovascular Treatment in Different Pathological Subtypes of Basilar Artery Occlusion: a Single Center Experience.

Transl Stroke Res 2020 Jul 8. Epub 2020 Jul 8.

Neurointervention Center, Beijing Tiantan Hospital, Capital Medical University, No. 119, the South Fourth Ring West Road, Fengtai District, Beijing, 100050, China.

The current study aimed to evaluate whether patients with different pathologic subtypes of basilar artery occlusion (BAO) stroke could affect the clinical outcome after receiving endovascular treatment (EVT). A total of 187 consecutive patients with acute BAO receiving endovascular treatment (EVT) from January 2012 to July 2018 at the Beijing Tiantan Hospital were recruited in this study. The patients were categorized into three groups: embolism without vertebral artery (VA) steno-occlusion (group 1), in situ atherosclerotic thrombosis (group 2), and embolism from tandem VA steno-occlusion (group 3). Read More

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http://dx.doi.org/10.1007/s12975-020-00833-wDOI Listing

Persistent Blood Flow inside the Woven EndoBridge Device More Than 6 Months after Intracranial Aneurysm Treatment: Frequency, Mechanisms, and Management-A Retrospective Single-Center Study.

AJNR Am J Neuroradiol 2020 Jun 11. Epub 2020 Jun 11.

Department of Neuroradiology (H.A.N., S.S., P.-F.M., L.P.), Hôpital Maison-Blanche, Reims, France.

Background And Purpose: Due to its high safety and great efficacy, flow disruption with the Woven EndoBridge (WEB) device is increasingly used to treat intracranial aneurysms. We recently identified patients with intracranial aneurysm treated with the WEB who presented with residual blood flow inside the device ("contrast-in-WEB" phenomenon) more than 6 months posttreatment. This series reports the frequency and underlying mechanisms and discusses management of this phenomenon. Read More

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http://dx.doi.org/10.3174/ajnr.A6593DOI Listing

Early experience treating intracranial aneurysms using Accero: a novel, fully visible, low profile braided stent with platinum-nitinol composite wire technology.

J Neurointerv Surg 2020 Jun 10. Epub 2020 Jun 10.

Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK.

Background: Accero is an innovative, fully visible, self-expanding braided stent with platinum-nitinol composite wire technology, produced by Acandis.

Objective: To assess the technical success and safety of this new stent by evaluating the intraprocedural behavior and complication rate, and the short-term follow-up results.

Methods: Forty-one consecutive patients suitable for stent-assisted coiling were selected for the use of Accero in an 11-month period. Read More

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http://dx.doi.org/10.1136/neurintsurg-2020-015918DOI Listing

Delayed extensive brain edema caused by the growth of a giant basilar apex aneurysm treated with basilar artery obliteration: a case report.

BMC Neurol 2020 Jun 6;20(1):232. Epub 2020 Jun 6.

Department of Neurosurgery, University Hospital 12 de Octubre, Avda de Córdoba s/n, 28041, Madrid, Spain.

Background: Partially thrombosed giant aneurysms at the basilar apex (BA) artery are challenging lesions with a poor prognosis if left untreated. Here we describe a rare case of extensive brain edema after growth of a surgically treated and thrombosed giant basilar apex aneurysm.

Case Presentation: We performed a proximal surgical basilar artery occlusion on a 64-year-old female with a partially thrombosed giant BA aneurysm. Read More

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http://dx.doi.org/10.1186/s12883-020-01819-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275367PMC
June 2020
2.040 Impact Factor

Assessment of Atherosclerosis in Peripheral and Central Circulation in Adult β Thalassemia Intermedia Patients by Color Doppler Ultrasound: Egyptian Experience.

J Vasc Res 2020 May 12:1-7. Epub 2020 May 12.

Clinical Hematology Unit, Internal Medicine Department, Kasr Al Ainy Faculty of Medicine, Cairo University, Cairo, Egypt,

Background: Atherosclerosis has been extensively studied in thalassemia major (TM) and sickle cell disease but not yet in β thalassemia intermedia (TI). Previous studies concerned with TM were performed in children. TI patients usually live longer and, thus, are more prone to complications of atherosclerosis. Read More

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http://dx.doi.org/10.1159/000506518DOI Listing

Treatment of Carotid Ophthalmic Aneurysm With Woven EndoBridge (WEB SL): 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2020 Apr 29. Epub 2020 Apr 29.

Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York.

Wide-necked cerebral aneurysms often require complex treatment strategies for optimal treatment. As the surgeon's arsenal continues to expand, consideration of all potential applications of available devices is important. The Woven EndoBridge (WEB) device (MicroVention-Terumo, Aliso Viejo, California) capitalizes on flow disruption to promote thrombosis and is Food and Drug Administration (FDA) approved for saccular wide-necked bifurcation aneurysms located at the middle cerebral artery bifurcation, internal carotid artery (ICA) terminus, anterior communicating artery complex, and basilar apex. Read More

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http://dx.doi.org/10.1093/ons/opaa098DOI Listing

Thrombosis of a basilar perforator aneurysm associated with pontine infarction in a patient with systemic lupus erythematosus.

Radiol Case Rep 2020 Jun 11;15(6):757-760. Epub 2020 Apr 11.

Department of Diagnostic Radiology, School of Medicine, Tohoku University, 1-1 Seiryo-cho Aoba-ku, Sendai, Japan.

Systemic lupus erythematosus (SLE) is an autoimmune disease that can affect multiple organ systems. Cerebral aneurysm formation is a rare central nervous system manifestation of SLE and tends to present as subarachnoid hemorrhage. Here, we report a 34-year-old woman with SLE complicated by a thrombosed aneurysm that had arose at the origin of a perforating artery, thereby causing obstruction of the artery and subsequent development of pontine infarction. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.03.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7153031PMC

Kosaki overgrowth syndrome: A novel pathogenic variant in PDGFRB and expansion of the phenotype including cerebrovascular complications.

Clin Genet 2020 Jul 4;98(1):19-31. Epub 2020 May 4.

Centre de Génétique et Centre de référence « Anomalies du Développement et Syndromes Malformatifs », Hôpital d'Enfants, Centre Hospitalier Universitaire de Dijon, Dijon, France.

Heterozygous activating variants in platelet-derived growth factor, beta (PDGFRB) are associated with phenotypes including Kosaki overgrowth syndrome (KOGS), Penttinen syndrome and infantile myofibromatosis (IM). Here, we present three new cases of KOGS, including a patient with a novel de novo variant c.1477A > T p. Read More

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http://dx.doi.org/10.1111/cge.13752DOI Listing
July 2020
3.931 Impact Factor

From Perviousness to Plaque Imaging in Acute Basilar Occlusions: The Impact of Underlying Stenosis and How to Detect It.

Stroke 2020 03 29;51(3):766-774. Epub 2020 Jan 29.

From the Department of Neuroradiology (M.T.B., D.P., C.M., B.F., C.Z., T.B.-B.), Klinikum Rechts der Isar, School of Medicine, Technical University of Munich, Germany.

Background and Purpose- Recent studies show that mechanical thrombectomy of acute basilar artery occlusions (BAO) results in high rates of successful recanalization and good outcomes, but predictors are not completely established yet. Varying occlusion types may benefit differently, and especially, an underlying basilar stenosis (BS) seems to have an impact. Aim of this study was to investigate angiographic and clinical differences in BAO subtypes and to test the potential of perviousness measures for a preinterventional identification of clinically relevant different occlusion types. Read More

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http://dx.doi.org/10.1161/STROKEAHA.119.027472DOI Listing

Basilar artery thrombosis during sexual intercourse.

J Clin Neurosci 2020 Apr 22;74:238-240. Epub 2020 Jan 22.

Martin-Luther-University Halle-Wittenberg, Department of Neurology, Ernst-Grube-Straße 40, 06120 Halle (Saale), Germany. Electronic address:

An ischemic stroke during sexual intercourse is very rare. A basilar artery thrombosis during sexual intercourse has not been described previously. We report a young woman with a life-threatening basilar artery thrombosis during sexual intercourse, with a resulting locked-in syndrome. Read More

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http://dx.doi.org/10.1016/j.jocn.2020.01.071DOI Listing

Timing of Thrombosis in Embolization of Unruptured Intracranial Aneurysms : Tirofiban as Rescue Treatment.

Clin Neuroradiol 2020 Jan 22. Epub 2020 Jan 22.

Department of Radiology, Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 05505, Seoul, Korea (Republic of).

Purpose: Thrombosis is one of the main complications of endovascular treatment for unruptured intracranial aneurysms (UIA). This article reports the timing and initial location of thrombosis and prognosis after the use of tirofiban for performing coil embolization for UIA.

Methods: This study retrospectively collected 1686 cases of intracranial aneurysms treated with coil embolization from January 2013 to February 2018. Read More

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http://dx.doi.org/10.1007/s00062-019-00873-2DOI Listing
January 2020

Diagnostic value of non-contrast brain computed tomography in the evaluation of acute cerebral venous thrombosis.

Sci Rep 2020 01 21;10(1):883. Epub 2020 Jan 21.

Department of Radiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Acute cerebral vein thrombosis is usually seen as increased attenuation in brain non-contrast computed tomography. It is so helpful to define measurable parameters for subjective evaluation of sinus thrombosis in non-enhanced brain computed tomography, especially where advanced neuroimaging techniques are not available. The purpose of this study is to evaluate the diagnostic value of venobasilar attenuation ratio and venobasilar attenuation difference in the evaluation of acute cerebral venous sinuous thrombosis in non-enhanced brain CT scan. Read More

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http://dx.doi.org/10.1038/s41598-020-57867-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6972746PMC
January 2020

Internal Carotid Artery to Posterior Cerebral Artery Bypass for Fusiform Basilar Artery Aneurysm: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2020 01;18(1):E1

Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.

Fusiform dolichoectatic basilar trunk aneurysms pose an immense surgical challenge because of the extremely eloquent tissue at risk during the procedure and the complex management strategies required to relieve mass effect on the brainstem. The patient presented in this case experienced progressive brainstem deterioration with quadraparesis and multiple cranial neuropathies. The patient underwent a modified orbitozygomatic craniotomy for visualization, and an end-to-side anastomosis between a radial artery interposition graft and the posterior cerebral artery was performed, followed by an end-to-side anastomosis of the interposition graft to the intracranial internal carotid artery. Read More

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http://dx.doi.org/10.1093/ons/opz280DOI Listing
January 2020

Flow Diversion for Treatment of Partially Thrombosed Aneurysms: A Multicenter Cohort.

World Neurosurg 2020 Mar 21;135:e164-e173. Epub 2019 Nov 21.

Division of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Teaching Hospital, Boston, USA.

Background: Partially thrombosed intracranial aneurysms (PTIA) represent a unique subset of intracranial aneurysms with an ill-defined natural history, posing challenges to standard management strategies. This study aims to assess the efficacy of flow diversion in the treatment of this pathology.

Methods: A retrospective review of patients with flow-diverted PTIA at 6 cerebrovascular centers was performed. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.11.084DOI Listing
March 2020
2.417 Impact Factor

Cocaine as a rare cause of locked-in syndrome: a case report.

J Med Case Rep 2019 Nov 19;13(1):337. Epub 2019 Nov 19.

Division of Pulmonary, Critical Care & Sleep Medicine, University of Maryland School of Medicine, 110 S. Paca Street, Baltimore, MD, 21201, USA.

Introduction: In the United States, cocaine is a commonly used drug of abuse. It is also a recognized contributing factor for both hemorrhagic and ischemic strokes. However, cocaine-induced basilar artery thrombosis has rarely been reported in the literature. Read More

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http://dx.doi.org/10.1186/s13256-019-2278-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6862856PMC
November 2019
5 Reads

Early postmarket results with PulseRider for treatment of wide-necked intracranial aneurysms: a multicenter experience.

J Neurosurg 2019 Nov 8:1-10. Epub 2019 Nov 8.

Departments of1Neurosurgery and.

Objective: Traditionally, stent-assisted coiling and balloon remodeling have been the primary endovascular treatments for wide-necked intracranial aneurysms with complex morphologies. PulseRider is an aneurysm neck reconstruction device that provides parent vessel protection for aneurysm coiling. The objective of this study was to report early postmarket results with the PulseRider device. Read More

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http://dx.doi.org/10.3171/2019.5.JNS19313DOI Listing
November 2019
3.737 Impact Factor

Traumatic Vertebral Artery Dissection and Basilar Artery Occlusion/Stroke in a 7-Year-Old Child: A Case Report.

J Pediatr Intensive Care 2019 Dec 24;8(4):233-237. Epub 2019 Jun 24.

Touro University California College of Osteopathic Medicine, Vallejo, California, United States.

Vertebral artery dissection (VAD) followed by basilar artery occlusion/stroke (BAO/BAS) is a rare but potentially life-threatening complication. We present a case report of a 7-year-old boy with VAD complicated by BAO/BAS 4 days after falling off a scooter. Symptoms included left-sided weakness and facial droop preceded by a 20-minute episode of altered sensorium. Read More

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http://dx.doi.org/10.1055/s-0039-1692670DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6821526PMC
December 2019

Persistent trigeminal artery in a patient with posterior circulation stroke treated with rt-PA: case report.

BMC Neurol 2019 Oct 27;19(1):257. Epub 2019 Oct 27.

Neurology Department, Hospital Pedro Hispano, ULS Matosinhos, Porto, Portugal.

Background: A persistent trigeminal artery (PTA) is a non-involuted embryonic vessel that connects the cavernous part of the internal carotid artery with the posterior circulation. In the adult it is associated with multiple pathological conditions including trigeminal neuralgia, ophthalmoplegia, hypopituitarism, intracavernous fistula, brain aneurysms and posterior circulation strokes. The latter may occur through steal phenomena or thrombosis in the anterior circulation. Read More

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http://dx.doi.org/10.1186/s12883-019-1492-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6816207PMC
October 2019

Direct puncture of the V3 segment of the vertebral artery in acute basilar artery stroke: an alternative approach in desperate circumstances.

BMJ Case Rep 2019 Aug 30;12(8). Epub 2019 Aug 30.

Interventional Neuroradiology, Royal Victoria Hospital, Belfast, UK.

A patient in his mid-40s presented with acute basilar artery thrombosis 7 hours postsymptom onset. Initial attempts to perform mechanical thrombectomy (MT) via the femoral and radial arterial approaches were unsuccessful as the left vertebral artery (VA) was occluded at its origin and the right VA terminated in the posterior inferior cerebellar artery territory, without contribution to the basilar system. MT was thus performed following ultrasound-guided direct arterial puncture of the left VA in its V3 segment, with antegrade advancement of a 4 French radial access sheath. Read More

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http://dx.doi.org/10.1136/bcr-2019-231335DOI Listing
August 2019
1 Read

Treatment of posterior circulation strokes by mechanical thrombectomy with a stent-retriever: a retrospective observational study at a single center.

Radiologia 2020 Jan - Feb;62(1):51-58. Epub 2019 Aug 21.

Sección de Neurorradiología Diagnóstica y Terapéutica, Unidad de Gestión Clínica de Radiodiagnóstico, Hospital Universitario Reina Sofía, Córdoba, España.

Objectives: To determine the rate of recanalization, functional outcome at three months, and independent prognostic factors in patients with posterior circulation strokes treated with stent-retrievers and to compare these results with those of patients in an earlier series treated with "classical methods".

Material And Methods: This was a retrospective study of consecutive patients with posterior circulation strokes treated with stent-retrievers at our center between December 1, 2011 and May 1, 2018. The main outcome variables were the rate of recanalization according to the Thrombosis in Cerebral Infarction (TICI) scale and functional independence score 90 days after treatment according to the modified Rankin Scale (mRS). Read More

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http://dx.doi.org/10.1016/j.rx.2019.06.002DOI Listing
August 2019
1 Read

Basilar artery thrombosis in a 20-year-old pregnant patient - difficulties in establishing the aetiology.

Authors:
Piotr F Czempik

Anaesthesiol Intensive Ther 2019 ;51(4):330-332

Department of Anaesthesiology and Intensive Care, School of Medicine in Katowice, Medical University of Silesia in Katowice, Poland.

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http://dx.doi.org/10.5114/ait.2019.87329DOI Listing
January 2019

Investigation of Radiation Exposure of Patients with Acute Ischemic Stroke during Mechanical Thrombectomy.

Rofo 2019 Dec 24;191(12):1099-1106. Epub 2019 Jul 24.

Department of Radiology and Neuroradiology, Hospital of Dortmund gGmbH, Dortmund, Germany.

Purpose:  In radiological interventions, the skin is the most exposed organ. The aim of this study was to investigate the local dose exposure and the resulting risk of deterministic radiation effects for patients who underwent mechanichal thrombectomy.

Materials And Methods:  The examination protocols of 50 consecutive stroke patients who underwent mechanical thrombectomy from September 2016 to April 2017 were evaluated in this study. Read More

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http://dx.doi.org/10.1055/a-0924-5945DOI Listing
December 2019
3 Reads

Transposition of the left vertebral artery during endovascular stent-graft repair of the aortic arch.

J Thorac Cardiovasc Surg 2020 06 15;159(6):2189-2198.e1. Epub 2019 Jun 15.

Vascular Surgery, Department of Cardiovascular Surgery, Poliambulanza Foundation, Brescia, Italy.

Objectives: The aim of this study was to present our experience with the management of isolated left vertebral artery during hybrid aortic arch repairs with thoracic endovascular aortic repair completion.

Methods: This is a single-center, observational, cohort study. Between January 2007 and December 2018, 9 patients (4. Read More

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http://dx.doi.org/10.1016/j.jtcvs.2019.06.011DOI Listing
June 2020
7 Reads

Saccular or dissecting aneurysms involving the basilar trunk: Endovascular treatment and clinical outcome.

Neurol Res 2019 Jul 2;41(7):671-677. Epub 2019 May 2.

g Department of Radiology , Gangnam Severance Hospital,Yonsei University College of Medicine , Seoul , Korea.

: Basilar artery trunk aneurysms (BTAs) are a rare pathology and difficult to treat. We present our experience regarding angiographic results and clinical outcomes for 16 BTAs treated by reconstructive endovascular treatment (EVT) using stent or balloon. : Between January 2003 and December 2014, 15 patients (mean age, 58. Read More

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http://dx.doi.org/10.1080/01616412.2019.1611185DOI Listing
July 2019
14 Reads

Therapy for acute basilar artery occlusion: a systematic review and meta-analysis.

F1000Res 2019 7;8:165. Epub 2019 Feb 7.

Faculty of Medicine, Macquarie University, Macquarie Park, NSW, 2109, Australia.

This study aims to analyse the efficacy of different treatment methods for acute basilar artery occlusion, with an emphasis placed on evaluating the latest treatment methods.   A systematic review and meta-analysis was performed to analyse the current data on the therapies available for treating acute basilar artery occlusion. A total of 102 articles were included. Read More

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http://dx.doi.org/10.12688/f1000research.18042.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456838PMC
June 2020
1 Read

Treatment of Wide-Neck Intracranial Aneurysms with the Woven EndoBridge Device Associated with Stenting: A Single-Center Experience.

AJNR Am J Neuroradiol 2019 05 11;40(5):820-826. Epub 2019 Apr 11.

From the Neuroradiology Department, University Hospital Gui De Chauliac, Centre Hospitalier Universitaire de Montpellier, Montpellier, France.

Background And Purpose: The intrasaccular flow disruptor, the Woven EndoBridge device, is increasingly used for the treatment of wide-neck intracranial aneurysms. Due to unfavorable anatomy, additional stent placement is sometimes required to avoid Woven EndoBridge protrusion into bifurcation branches. We report our experience with the Woven EndoBridge associated with stent placement for the treatment of complex intracranial aneurysms. Read More

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http://dx.doi.org/10.3174/ajnr.A6032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053896PMC
May 2019
3 Reads

Using the pCANvas neck-bridging device in treating a wide-necked aneurysm of the basilar tip.

Neuroradiol J 2019 Jun 3;32(3):193-199. Epub 2019 Apr 3.

2 Neurosurgery Department, UH St Ivan Rilski, Bulgaria.

Background And Importance: The endovascular treatment of recurrent wide-necked bifurcation aneurysms at the basilar tip remains very challenging. Many different techniques and devices have emerged in recent years as potential options but results remain less than controversial. The pCANvas is a relatively new device wielding neck-bridging properties with a haemodynamically active membrane acting as blood flow disrupter. Read More

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http://dx.doi.org/10.1177/1971400919839375DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6512211PMC
June 2019
27 Reads

Mechanical Thrombectomy in Subtypes of Basilar Artery Occlusion: Relationship to Recanalization Rate and Clinical Outcome.

Radiology 2019 06 26;291(3):730-737. Epub 2019 Mar 26.

From the Department of Radiology, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, South Korea.

Background Acute stroke because of basilar artery occlusion (BAO) represents 1% of all ischemic strokes. However, recanalization rates and treatment outcome for the different pathologic subtypes of BAO stroke are not fully understood. Purpose To compare the recanalization rate and clinical outcomes of mechanical thrombectomy in different subtypes of BAO. Read More

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http://dx.doi.org/10.1148/radiol.2019181924DOI Listing
June 2019
7 Reads

Use of the PulseRider Device in the Treatment of Ruptured Intracranial Aneurysms: A Case Series.

World Neurosurg 2019 Jul 9;127:e149-e154. Epub 2019 Mar 9.

Department of Neurosurgery & Radiology, University of Colorado, Aurora, Colorado, USA.

Background: Wide-necked intracranial aneurysms present unique treatment challenges in the setting of subarachnoid hemorrhage. New generations of endoluminal devices (stents) have expanded our ability to treat complex aneurysms. The PulseRider Aneurysm Neck Reconstruction Device (PulseRider [Cerenovus, Irvine, California, USA]) is new to the U. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.03.003DOI Listing
July 2019
6 Reads

Basilar Occlusion and Rupture Secondary to Rare Fungal Sinusitis.

World Neurosurg 2019 05 15;125:217-221. Epub 2019 Feb 15.

Lyerly Neurosurgery/Baptist Health, Baptist Neurological Institute, Jacksonville, Florida, USA.

Background: Intracranial vascular infections of fungal etiology are extremely rare. Most cases occur in immunocompromised patients with invasive fungal disease, most commonly originating in the paranasal sinuses or the lungs. Granulomatous invasive rhinosinusitis, which is extremely rare in North America, has been reported to affect immunocompetent patients in most cases, and its causative strain has potential to invade the intracranial arteries. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.179DOI Listing
May 2019
8 Reads

Pipeline Embolization of an Infectious Basilar Artery Aneurysm in a 2-Year-Old Child: Case Report, Discussion of the Literature and Perioperative Considerations.

Oper Neurosurg (Hagerstown) 2019 11;17(5):E224-E228

Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

Background And Importance: Flow diversion of intracranial aneurysms has been rarely described in the pediatric population. Here we discuss the technical and perioperative complexities inherent in the flow diversion of an infectious basilar apex aneurysm in a 2-yr-old child with significant medical comorbidities.

Clinical Presentation: Following judicious oral administration of dual anti-platelet agents and intra-arterial administration of calcium channel blockers to treat vasospasm, standard endovascular procedures were used to place a flow diverting stent across the neck of a rapidly enlarging infectious aneurysm of the basilar apex. Read More

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https://academic.oup.com/ons/advance-article/doi/10.1093/ons
Publisher Site
http://dx.doi.org/10.1093/ons/opz002DOI Listing
November 2019
6 Reads

Postoperative Antiplatelet Therapy in the Treatment of Complex Basilar Apex Aneurysms Implementing Hunterian Ligation and Extracranial-to-Intracranial Bypass: Review of the Literature with an Illustrative Case Report.

World Neurosurg 2019 Mar 8;123:113-122. Epub 2018 Dec 8.

Neurorestoration Center, Keck School of Medicine, University of Southern California, Los Angeles, California, USA; Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA. Electronic address:

Large broad-based basilar artery (BA) apex aneurysms involving multiple arterial origins are complex lesions commonly not amenable to direct clipping or endovascular management. BA proximal (Hunterian) occlusion with extracranial-to-intracranial bypass is a supported strategy if 1 or both posterior communicating arteries are small. Hunterian ligation risks sudden aneurysm thrombosis and thromboembolism in the perforator-rich BA apex. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.237DOI Listing
March 2019
32 Reads

Optical Coherence Tomography of Spontaneous Basilar Artery Dissection in a Patient With Acute Ischemic Stroke.

Front Neurol 2018 16;9:858. Epub 2018 Oct 16.

Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.

The diagnosis of intracranial arterial dissection (IAD) may be challenging and multimodal imaging techniques are often needed to confirm the diagnosis. Previous studies have based their criteria for diagnosis of IAD on conventional angiography, computed tomography, or magnetic resonance imaging. We report a case with acute ischemic stroke due to spontaneous basilar artery dissection in which intravascular optical coherence tomography (OCT) was used to show features of IAD. Read More

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http://dx.doi.org/10.3389/fneur.2018.00858DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232774PMC
October 2018
7 Reads

Endovascular rescue of vertebro-basilar thrombosis in cervical spine injury.

Spinal Cord Ser Cases 2018 9;4:101. Epub 2018 Nov 9.

3King Faisal Specialist Hospital and Research Center and Alfaisal University, Riyadh, Saudi Arabia.

Introduction: Vertebro-basilar thrombosis is often lethal. We report a post-traumatic case in which logistical issues were overcome to secure prompt endovascular intervention resulting in a favourable outcome.

Case Presentation: We report this case to highlight (i) the need, across the United Kingdom, for rapid access to 24/7 neurointerventional services and (ii) the fact that vertebral artery injury during C-spine trauma, while not uncommon, can rarely have catastrophic complications. Read More

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http://www.nature.com/articles/s41394-018-0132-1
Publisher Site
http://dx.doi.org/10.1038/s41394-018-0132-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6226425PMC
November 2018
29 Reads

[Surgical treatment of large and giant vertebrobasilar aneurysms manifested by brainstem compression symptoms].

Zh Vopr Neirokhir Im N N Burdenko 2018;82(4):32-37

Polenov Russian Research Institute of Neurosurgery, Branch of the Almazov National Medical Research Centre, St. Petersburg, Russia.

The study aim was to analyze the results of surgical treatment of vertebrobasilar (VB) aneurysms manifested by brainstem compression symptoms.

Material And Methods: The study included 8 patients operated on in the period between 2014 and 2017. All patients underwent intravascular intervention; two patients had open surgery at the second stage. Read More

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http://www.mediasphera.ru/issues/zhurnal-voprosy-nejrokhirur
Publisher Site
http://dx.doi.org/10.17116/neiro201882432DOI Listing
February 2019
14 Reads

Giant intracranial aneurysms of the posterior circulation and their relation to the brainstem: analysis of risk factors for neurological deficits.

J Neurosurg 2018 08;131(2):403-409

1Department of Neurosurgery, Charité-Universitaetsmedizin Berlin.

Objective: Giant posterior circulation aneurysms (GPCirAs) usually cause substantial mass effect on the brainstem, which may lead to neurological deficits. So far, there has been no systematic investigation of factors associated with such deficits in GPCirA. The authors aim to examine the risk factors for cranial nerve deficit (CND), motor deficit, and disability in patients with GPCirA. Read More

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http://thejns.org/doi/10.3171/2018.4.JNS172343
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http://dx.doi.org/10.3171/2018.4.JNS172343DOI Listing
August 2018
30 Reads

Angioplasty and Stenting of Intracranial Arterial Stenosis in Perforator-Bearing Segments: A Comparison Between the Anterior and the Posterior Circulation.

Front Neurol 2018 9;9:533. Epub 2018 Jul 9.

Department of Neurology, Alfried Krupp Krankenhaus, Essen, Germany.

Subgroup analysis of the SAMMPRIS trial showed a higher rate of periprocedural perforator strokes with the Wingspan stent in the basilar artery in patients with symptomatic intracranial atherosclerotic stenosis (ICAS). It remains unclear whether angioplasty (PTA) alone or in combination with other stent types (PTAS) will yield similar results in perforator-bearing segments of the anterior and posterior circulation. We retrospectively analyzed the periprocedural complication rate, long term outcome and stroke etiology in 59 consecutive patients with ICAS of the middle cerebral artery (79 treatments) and 67 patients with ICAS of the intracranial vertebral and basilar artery (76 treatments) treated with PTA or PTAS from 2007 to 2015 in a high-volume neuro-interventional center. Read More

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http://dx.doi.org/10.3389/fneur.2018.00533DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6046376PMC
July 2018
57 Reads

Basilar Artery Thrombosis on Brain MRI.

Neurohospitalist 2018 Jul 25;8(3):NP3. Epub 2017 Sep 25.

Department of Neurology, Hazrat Rasool Hospital, Iran University of Medical Sciences, Tehran, Iran.

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http://dx.doi.org/10.1177/1941874417733218DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022901PMC
July 2018
36 Reads

Beware the bright basilar artery: an early and specific CT sign of acute basilar artery thrombosis.

Intern Emerg Med 2018 Dec 3;13(8):1327-1328. Epub 2018 Jul 3.

Section of Interventional Neuroradiology, Division of Neuroradiology, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

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http://link.springer.com/10.1007/s11739-018-1905-z
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http://dx.doi.org/10.1007/s11739-018-1905-zDOI Listing
December 2018
15 Reads

Facial Weakness and Ophthalmoplegia in a 4-Day-Old Infant.

Semin Pediatr Neurol 2018 07 2;26:63-66. Epub 2017 Apr 2.

Department of Pediatrics and Neurology, University of Iowa Stead Family Children's Hospital, Iowa City, IA.

We present a neonate with neurologic deficits recognized at 4 days of age. A male infant was born at term via emergency cesarian section due to failure to progress and fetal decelerations. He underwent therapeutic hypothermia for hypoxic ischemic encephalopathy. Read More

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http://dx.doi.org/10.1016/j.spen.2017.03.008DOI Listing
July 2018
23 Reads

A review of the diagnosis and management of vertebral basilar (posterior) circulation disease.

Surg Neurol Int 2018 24;9:106. Epub 2018 May 24.

Department of Neurology, David Geffen School of Medicine, University of California, Los Angeles, California, USA.

We have reviewed the English literature published in the last 70 years on Diseases of the Vertebral Basilar Circulation, or Posterior Circulation Disease (PCD). We have found that errors have been made in the conduct and interpretation of these studies that have led to incorrect approaches to the management of PCD. Because of the difficulty in evaluating the PC, the management of PCD has been incorrectly applied from anterior circulation disease (ACD) experience to PCD. Read More

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http://dx.doi.org/10.4103/sni.sni_373_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5991286PMC
May 2018
26 Reads

LVIS Jr Device for Y-Stent-Assisted Coil Embolization of Wide-Neck Intracranial Aneurysms: A Multicenter Experience.

Interv Neurol 2018 Apr 3;7(5):271-283. Epub 2018 Apr 3.

Department of Neurology, Neurosurgery and Radiology, University of Iowa, Iowa, Iowa, USA.

Background And Purpose: Complex wide-neck intracranial aneurysms are challenging to treat. We report a multicenter experience using the LVIS Jr stent for "Y-stent"-assisted coiling embolization of wide-neck bifurcation aneurysms.

Methods: Seven centers provided retrospective data on patients who underwent Y-stenting. Read More

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http://dx.doi.org/10.1159/000487545DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5939862PMC
April 2018
29 Reads

Stent-assisted treatment of ruptured intracranial aneurysms in the acute phase: A single center experience.

eNeurologicalSci 2018 Mar 28;10:31-36. Epub 2018 Jan 28.

Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany.

Introduction: The purpose of this study was to analyze the results of patients with ruptured aneurysms who were treated with a specific microstent in the acute phase of subarachnoid hemorrhage.

Methods: Data from patients with acutely-ruptured intracranial aneurysm treated with the Neuroform stent in the period between 2003 and 2016 were retrospectively assessed, addressing aneurysm occlusion and clinical outcome with a focus on periprocedural complications.

Results: Twenty-nine consecutive patients with ruptured intracranial aneurysms were included in the analysis. Read More

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http://dx.doi.org/10.1016/j.ensci.2018.01.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5933999PMC
March 2018
15 Reads

Thrombectomy for late occlusion of high flow extracranial-intracranial saphenous vein bypass graft after 27 years of patency.

J Neurointerv Surg 2018 Nov 7;10(11):e27. Epub 2018 Apr 7.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

High flow extracranial-intracranial (EC-IC) bypass with a saphenous vein graft (SVG) has been used for more than 40 years in patients with giant aneurysms of the posterior circulation refractory to medical management, and has demonstrated high long term patency rates. We report the case of a patient treated with external carotid artery (ECA)-posterior cerebral artery SVG bypass in 1989 who presented 27 years later with paresthesias and confusion, and was found to have partial occlusion of her SVG bypass graft and a basilar occlusion. She was treated with mechanical thrombectomy of the basilar occlusion via the partially thrombosed graft, the first report of such a procedure through a high flow posterior circulation EC-IC SVG, resulting in improvement of the patient's neurologic examination. Read More

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http://jnis.bmj.com/lookup/doi/10.1136/neurintsurg-2017-0136
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http://dx.doi.org/10.1136/neurintsurg-2017-013670.repDOI Listing
November 2018
38 Reads

Late recanalization of basilar artery occlusion in a previously healthy 17-month-old child.

J Neurointerv Surg 2018 Jul 7;10(7):e17. Epub 2018 Apr 7.

Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA.

Endovascular treatment of acute ischemic stroke in children is increasingly being reported, although the time window for intervention is unclear. We describe a previously healthy 17-month-old child who presented with vertebral artery thrombosis and cerebellar stroke requiring posterior fossa decompression. She later progressed to basilar artery thrombosis treated with mechanical thrombectomy 50 hours after clinical decline. Read More

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http://dx.doi.org/10.1136/neurintsurg-2017-013277.repDOI Listing
July 2018
7 Reads

Impact of stroke mechanism in acute basilar occlusion with reperfusion therapy.

Ann Clin Transl Neurol 2018 03 30;5(3):357-368. Epub 2018 Jan 30.

Department of Neurology Seoul National University Hospital Seoul South Korea.

Objective: We aimed to evaluate the impact of underlying mechanism of basilar artery (BA) occlusion on the outcomes after endovascular therapy (EVT) for reperfusion and the outcome factors associated with each mechanism, and to identify radiologic parameters enabling to distinguish the underlying mechanism.

Methods: From a registry database, 194 consecutive patients with acute BA occlusion who underwent EVT were analyzed. Stroke mechanism, classified into in situ atherosclerotic thrombosis (ISAT) and embolism, clot sign location profiles in pre-angiography magnetic resonance image (MRI), parameters of angiography and EVT, and reperfusion were assessed. Read More

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http://dx.doi.org/10.1002/acn3.536DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5846447PMC
March 2018
11 Reads

Thrombectomy for late occlusion of high flow extracranial-intracranial saphenous vein bypass graft after 27 years of patency.

BMJ Case Rep 2018 Mar 8;2018. Epub 2018 Mar 8.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

High flow extracranial-intracranial (EC-IC) bypass with a saphenous vein graft (SVG) has been used for more than 40 years in patients with giant aneurysms of the posterior circulation refractory to medical management, and has demonstrated high long term patency rates. We report the case of a patient treated with external carotid artery (ECA)-posterior cerebral artery SVG bypass in 1989 who presented 27 years later with paresthesias and confusion, and was found to have partial occlusion of her SVG bypass graft and a basilar occlusion. She was treated with mechanical thrombectomy of the basilar occlusion via the partially thrombosed graft, the first report of such a procedure through a high flow posterior circulation EC-IC SVG, resulting in improvement of the patient's neurologic examination. Read More

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http://dx.doi.org/10.1136/bcr-2017-013670DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5847895PMC
March 2018
12 Reads

Botulinum toxin to improve vessel graft patency in cerebral revascularization surgery: report of 3 cases.

J Neurosurg 2018 Feb 1:1-7. Epub 2018 Feb 1.

7Neurorestoration Center, Department of Neurological Surgery, Keck School of Medicine, University of Southern California, Los Angeles; and.

Surgical revascularization continues to play an important role in the management of complex intracranial aneurysms and ischemic cerebrovascular disease. Graft spasm is a common complication of bypass procedures and can result in ischemia or graft thrombosis. The authors here report on the first clinical use of botulinum toxin to prevent graft spasm following extracranial-intracranial (EC-IC) bypass. Read More

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http://dx.doi.org/10.3171/2017.9.JNS171292DOI Listing
February 2018
10 Reads