Thromboaspiration in the basilar artery: report of two cases.
Recanalization of the basilar artery is not always achieved with intraarterial fibrinolysis. We report two cases of thromboaspiration in the basilar artery in which recanalization with fibrinolysis was successful. Thromboaspiration requires favorable anatomy and a fresh nonadhesive clot. It reduces the time for recanalization, has no hemorrhagic risk, and may prevent distal clot migration. Thromboaspiration may be attempted as an adjunct or alternative to intraarterial fibrinolysis for basilar artery recanalization.
Chapot
René
R
Department of Interventional Neuroradiology, Hôpital Lariboisière, 1 rue Ambroise Paré, 75475 Paris Cedex 10, France.
Houdart
Emmanuel
E
Rogopoulos
André
A
Mounayer
Charbel
C
Saint-Maurice
Jean-Pierre
JP
Merland
Jean-Jacques
JJ
D000328:Adult; D001488:Basilar Artery / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D010960:Plasminogen Activators / Q000627:therapeutic use; D013396:Suction; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use
D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator