Basilar Artery Reocclusion within 24 Hours after Mechanical Thrombectomy Successfully Treated with New Intervention

Abstract

Acute basilar artery occlusion (BAO) may cause ischemia in the region of brainstem, parts of the thalamus, occipital lobes, and cerebellum, resulting in severe disability or mortality rate above 70%. The possible manifestations of stroke in these regions are a disturbance of the state of consciousness up to coma, quadriplegia, dysphagia, dysarthria, 'locked-in syndrome' and very often death 1,2 . Headaches occur in approximately 2% of cases. Nausea and vomiting can occur with strokes in the brain-stem or cerebellum 3 . Patients with acute BAO have a fatal outcome in 85%-97% of cases, if they are untreated 4 . The use of intravenous thrombolytic therapy (ITT), as well as mechanical thrombec-