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Updated: Jul 6, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Vertebral artery dissection complicated by basilar artery occlusion successfully treated with intra-arterial
Paolo Cerrato1, Maurizio Berardino, Edo Bottacchi
1Department of Neuroscience, University of Turin San Giovanni Battista Hospital, Via Cherasco 15, 10126 Turin, Italy. paolo_cerrato@yahoo.com
Abstract:
Cervical artery dissection is an important cause of stroke in young patients and accounts of 10%-20% of stroke or TIA in patients aged less than 50 years. Basilar artery occlusion (BAO) is an infrequent cause of acute stroke, which invariably leads to death or long-term disability if not recanalized. We describe three patients with BAO caused by vertebral dissection, successfully treated with intra-arterial thrombolysis. The lysis of the occluding embolus was obtained by injection of the thrombolytic drug directly or near the thrombus without haemorrhagic complications. Our cases confirm the safety and efficacy of intra-arterial thrombolysis in patients with BAO due to a vertebral artery dissection.
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