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Updated: Oct 8, 2025
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Endovascular therapy for acute basilar artery occlusion caused by vertebral artery dissection: Case report
Changchun Jiang1,2, Jiahui Liu1,2, Jinfeng Zhang1,2
1Department of Neurology, Baotou Central Hospital, Baotou, Inner Mongolia, China.
Rationale:
The best endovascular therapy revascularization strategies for acute ischemic stroke caused by vertebral artery dissection (VAD) are unclear. We describes a case of basilar artery (BA) occlusion caused by extracranial VAD, in which we used a stent-retriever to achieve thrombectomy in the BA through the contralateral vertebral artery (VA).
Patient Concerns:
A 32-year-old male presented with a sudden-onset headache accompanied by articulation disorder, left-sided weakness, and tinnitus in the left ear.
Diagnosis:
Digital subtraction angiography showed the V1 to V2 segment dissection of the left VA and occlusion of the BA.
Interventions:
Thrombectomy was performed through the thinner right VA with three passes of the Solitaire FR device 4 × 20 mm in the BA, and angiograms showed modified treatment in cerebral ischemia 3 reperfusion of BA and left VA V4 segment still occluded.
Outcomes:
The patient had a modified Rankin Scale of 2 at 90 days, and re-established blood flow of the left VA and BA.
Lessons:
When extracranial VAD complicated with BA occlusion, choosing the clean-road path to perform a BA thrombectomy may be a fast and effective treatment strategy.
