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Updated: Aug 16, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

[Interventional endovascular therapy (stenting) for residual stenosis after lysis of the basilar artery]

S Boy1, K Isenhardt, K Gardill

  • 1Neurologische Klinik, Klinikum Aschaffenburg.

Der Nervenarzt
|July 28, 2005
PubMed

Insights

Intra-arterial thrombolysis and endovascular therapy offer excellent outcomes for acute basilar artery occlusion. Early stenting may be beneficial for residual stenosis after successful lysis.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Interventional Cardiology

Background:

  • Basilar artery thrombosis carries a high mortality rate despite current treatments.
  • Atherosclerotic stenosis is a likely precursor to acute basilar artery occlusion.

Observation:

  • Three cases of acute basilar artery occlusion were treated with intra-arterial thrombolysis.
  • Successful endovascular therapy followed thrombolysis in all reported cases.

Findings:

  • Excellent clinical outcomes were achieved in all three patients.
  • Acute thrombosis likely originated from pre-existing atherosclerotic stenoses.

Implications:

  • Intra-arterial thrombolysis combined with endovascular therapy is a viable treatment for basilar artery occlusion.
  • Early stenting could be a valuable strategy for managing residual stenosis post-thrombolysis.

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