Endovascular revascularisation of acute tandem vertebrobasilar artery occlusion:seven case series with literature reviews  

作　　者：Haihua Yang Ning Ma Shiyong Zhang Xiaochuan Huo Feng Gao Xuan Sun Dapeng Mo Zhongrong Miao 

机构地区：[1]Department of Interventional Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing,China [2]Department of Neurology,Beijing Daxing Hospital,Capital Medical University,Beijing,China [3]Department of Interventional Neurology,Beijing Fengtai Youanmen Hospital,Beijing,China

出　　处：《Stroke & Vascular Neurology》2018年第1期17-21,共5页卒中与血管神经病学（英文）

基　　金：This work was supported by the National Natural Science Foundation of China(Contract grant number:81471390 to N.M.,81371290 to Z.R.M.);Beijing High-level Personnel Funds(Contract grant number:2013-2-19 to Z.R.M.).

摘　　要：background The outcome of acute ischaemic stroke due to tandem vertebrobasilar artery occlusion was poor.Endovascular revascularisation may be a positive approach for acute basilar artery occlusion combined with vertebral ostium stenosis or occlusion.We reported seven patients with acute vertebrobasilar tandem occlusion by using angioplasty or stenting for proximal lesion and thrombectomy for distal occlusion.Materials and methods Consecutive patients with acute tandem vertebrobasilar artery occlusion at two centres were included in this study.We retrospectively analysed the clinical,technical and functional outcomes of the patients.results From March 2016 to March 2017,seven patients were included.The mean age and National Institute of Health Stroke Scale score at admission was 57 years and 22,respectively.A reverse approach was used in five patients.The Thrombolysis in Cerebral Infarction score 2b-3 was acquired in all patients.There were no procedural complications.The modified Rankin Scale score was 1-2 for three patients and 4 for one patient at 3 months.Three patients died at 3 months of follow-up.Conclusions Endovascular revascularisation may be feasible for acute tandem vertebrobasilar artery occlusion,and more researches are needed.

关 键 词：occlusion ACUTE VERTEBROBASILAR 

分 类 号：R74[医药卫生—神经病学与精神病学]