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Updated: May 14, 2026
05:44
Rodent Inferior Vena Cava Venoplasty Balloon Model
Published on: May 24, 2024
Crossover balloon technique for vertebral artery thrombus: a novel method.
Vikram Huded1, Ratnavalli Ellajosyula, Romnesh de Souza
1Department of Interventional Neurology, Narayana Institute of Neurosciences, Bangalore, Karnataka, India.
Journal of Neurointerventional Surgery
|February 12, 2013
Summary
A patient experienced recurrent strokes due to a vertebral artery thrombus despite medical treatment. A novel endovascular approach was successfully employed to address this complex cerebrovascular condition.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Radiology
Background:
- Cerebrovascular disease poses a significant health burden, with vertebral artery (VA) pathologies presenting unique challenges.
- Floating thrombi in the VA can lead to severe ischemic events, including transient ischemic attacks (TIAs) and acute stroke.
- Medical management often proves insufficient for complex VA thrombus cases.
Observation:
- A 54-year-old male presented with recurrent TIAs and acute stroke.
- The cause was identified as a floating thrombus within the right vertebral artery, accompanied by significant VA narrowing.
- Despite anticoagulation, antiplatelet, and statin therapy, the patient experienced multiple new infarcts.
Findings:
- The patient's condition necessitated advanced intervention due to treatment failure.
- A novel endovascular technique was performed to manage the right VA thrombus and associated stenosis.
- The intervention aimed to resolve the embolic source and restore adequate blood flow.
Implications:
- This case highlights the potential of innovative endovascular strategies for complex VA thrombus.
- Successful endovascular treatment may offer an alternative to more invasive surgical procedures.
- Further research into novel techniques could improve outcomes for patients with challenging cerebrovascular conditions.
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