Casebook: Difficult Cases
Successful recanalization after stenting in acute basilar occlusion from vertebral V2 dissection in a 52 year-old man
Acute ischemic stroke (NIHSS 12) in a 52 year-old male due to tandem occlusion of left vertebral and basilar arteries. Successful endovascular treatment performed within 12 hours by multistenting of left V2 segment and left V4-basilar artery.
Childhood Acute Basilar Artery Thrombosis successfully treated with Mechanical Thrombectomy using Stent Retrievers: Case Report
23-month baby;progressive impairment of consciousness, widespread stiffness, plaintive cry, CTand MRI:multiple infarction lesions in brainstem and left cerebellum. Angiography and Endovascular treatment.
An intra-stents thrombosis occurred 19 days after treatment of a ruptured aneurysm of the anterior aspect of the basilar artery
An aneurysm of the basilar artery was treated with stents and coils. An intra-stents thrombosis occurred 19 days after. An aggressive medical therapy plus thromboaspiration achieved basilar artery recanalization.
False vein of Galen malformation occurred in adult patient
A 30 y/o male presented with symptoms suggesting cervical myelopathy. Radiological investigations revealed a presence of persistent embryonic aneurismal dilated median prosencephalic vein of Markowski also know as false vein of Galen malformation.
Acute ischemic stroke. Incomplete ricanalization of a right internal carotid artery occlusion
A 45 years old man with acute ischemic stroke presented left hemiplegia and dysarthria with right ICA occlusion. After successful thrombectomy, partial reocclusion of the artery occurred. Could be pharmacological management different?
Persistence of an intracavernous aneurysm treated with a flow diverter due to the development of a secondary lumen: endovascular treatment using a balloon-expandable stent.
An intracavernous aneurysm was treated with a FD. At 6 months, there were still flow in the sac and a second lumen around the FD with concurrent narrowing of it. The dilation of the narrowed FD with a coronary stent achieved the cure of the aneurysm.