Hybrid Retrograde-Antegrade Recanalization of Acute Basilar Artery Occlusion

We describe a case in whom the BA was accessed and recanalized through a retrograde-antegrade approach from the anterior circulation using a large posterior communicating artery (PCOM). Once the BA had been crossed retrogradely through the PCOM, another microcatheter was advanced antegradely through the VA into the BA and right posterior cerebral artery using the “buddy-wire” technique. In this way the BA was recanalized and reconstructed with stents. This technical note demonstrates a new approach to BA treatment when the antegrade access is hampered by advanced VA/BA disease or dissection.Intervent Neurol 2017;6:263-267

Source: Interventional Neurology - October 25, 2017 Category: Neurology Source Type: research