Strategy of double stent-retriever thrombectomy for acute distal basilar artery occlusion

LYU Penghua; LI Xiaobo; SUN Ling; XU Chuan; JIANG Chao; WANG Shuxiang; GENG Suping; HUANG Wennou

doi:10.7619/jcmp.201922002

Journal of Clinical Medicine in Practice > 2019 > 23(22): 5-7. > DOI: 10.7619/jcmp.201922002

LYU Penghua, LI Xiaobo, SUN Ling, XU Chuan, JIANG Chao, WANG Shuxiang, GENG Suping, HUANG Wennou. Strategy of double stent-retriever thrombectomy for acute distal basilar artery occlusion[J]. Journal of Clinical Medicine in Practice, 2019, 23(22): 5-7. DOI: 10.7619/jcmp.201922002

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Strategy of double stent-retriever thrombectomy for acute distal basilar artery occlusion

1.
Department of Interventional Radiology, Subei People′s Hospital, Yangzhou, Jiangsu, 225001
2.
Department of Neurology, Subei People′s Hospital, Yangzhou, Jiangsu, 225001

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Received Date: September 11, 2019
Accepted Date: October 27, 2019
Available Online: February 28, 2021
Published Date: November 27, 2019

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Abstract

Abstract

Objective To explore the safety and efficacy of double stent-retriever thrombectomy in treatment of acute distal basilar artery occlusion.
Methods From January 2015 to May 2019, the imaging and clinical materials of 5 patients with acute distal basilar artery occlusion treated by double stent-retriever thrombectomy in center of cerebrovascular disease were analyzed retrospectively, including modified thrombolysis in cerebral infarction (mTICI), median score of the National Institutes of Health Stroke Scale (NIHSS) at 24 h and 7 days after operation, perioperative complications and score of modified Rankin Scale (MRS) within 90 days.
Results Among the 5 patients in this research, 3 patients selected double stent-retriever thrombectomy after failure of single stent thrombectomy for many times, and 2 patients directly selected double stent-retriever thrombectomy. All occluded vessels were recanalized successfully, and mTICI reached grades of 2b to 3. No intracranial hemorrhage was found by 3D-CT. The median NIHSS scores were 9.8 and 7.4 points at 24 h and 7 days after operation respectively. One patient died of pulmonary infection. Three patients were followed up for 3 months. The 90 d mRS was less than or equal to 2 points in three patients, and was more than 2 points in one patient.
Conclusion Double stent-retriever thrombectomy is safe and effective in the treatment of acute distal basilar artery occlusion with a high recanalization rate, which can be used as a remedy for the failure of conventional thrombectomy.
- stroke,
- intracranial artery,
- stents,
- mechanical thrombectomy,
- the National Institutes of Health Stroke Scale

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Strategy of double stent-retriever thrombectomy for acute distal basilar artery occlusion

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