Rescue use of endovascular snare for acute basilar artery embolic occlusion resistant to balloon angioplasty and fibrinolysis therapy.
A rescue clot disruption using a basket snare is described for acute basilar artery embolic occlusion resistant to balloon angioplasty and fibrinolysis therapy. In spite of failed balloon angioplasty in conjunction with fibrinolysis, a basket-shaped snare connected to a microguide wire could be used to catch and crush the clot in the upper basilar artery. The rescue use of a snare may be effective for angioplasty-resistant acute embolic stroke.
Hasegawa
S
S
Department of Neurosurgery, Kuroishi City Hospital, Aomori, Japan. seikohas@infoaomori.ne.jp
Manabe
H
H
Takemura
A
A
Nagahata
M
M
D000208:Acute Disease; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001488:Basilar Artery; D003131:Combined Modality Therapy; D006801:Humans; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010960:Plasminogen Activators / Q000008:administration & dosage; D011859:Radiography; D015912:Thrombolytic Therapy; D017211:Treatment Failure; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage
D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator