Tandem Lesions of the Vertebrobasilar System Treated by Thrombectomy and Vertebral Artery Stenting: A Case Report

Kohei Takikawa; Ryosuke Doijiri; Ayane Ohyama; Takuji Sonoda; Naoya Yamazaki; Mitsunobu Sato; Michiko Yokosawa; Ken Takahashi; Takayuki Sugawara; Naoto Kimura

doi:10.5797/jnet.cr.2021-0050

この記事には本公開記事があります。本公開記事を参照してください。
引用する場合も本公開記事を引用してください。

Tandem Lesions of the Vertebrobasilar System Treated by Thrombectomy and Vertebral Artery Stenting: A Case Report

Kohei Takikawa, Ryosuke Doijiri, Ayane Ohyama, Takuji Sonoda, Naoya Yamazaki, Mitsunobu Sato, Michiko Yokosawa, Ken Takahashi, Takayuki Sugawara, Naoto Kimura

著者情報

Kohei Takikawa
Department of Neurology, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan
Ryosuke Doijiri
Department of Neurology, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan
Ayane Ohyama
Department of Neurology, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan
Takuji Sonoda
Department of Neurology, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan
Naoya Yamazaki
Department of Neurology, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan
Mitsunobu Sato
Department of Neurology, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan
Michiko Yokosawa
Department of Neurosurgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan
Ken Takahashi
Department of Neurology, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan
Takayuki Sugawara
Department of Neurosurgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan
Naoto Kimura
Department of Neurosurgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan

キーワード: basilar artery occlusion, vertebral artery stenosis, tandem lesions, thrombectomy, vertebral artery stenting

ジャーナルオープンアクセス早期公開

論文ID: cr.2021-0050

DOI https://doi.org/10.5797/jnet.cr.2021-0050

この記事には本公開記事があります。

The final version of this article is now available: Vol. 16 (2022), No. 6 pp. 327-334

詳細

抄録

Objective: There are few reports on endovascular treatment of tandem lesions in the posterior circulation and no consensus on treatment strategies has been reached. We report a case of tandem lesions of basilar artery occlusion and vertebral artery stenosis treated by thrombectomy and vertebral artery stenting.

Case Presentation: We present the case of a 73-year-old man who developed consciousness disorder and tetraplegia. Head and neck CTA revealed tandem left vertebral artery stenosis and basilar artery occlusion. The patient was treated using a reverse technique, which involves performing thrombectomy first and then vertebral artery stenting, along with Carotid Guardwire PS. Postoperative impairment of consciousness and improvement of tetraplegia were achieved.

Conclusion: The reverse technique combined with Carotid Guardwire PS may be a useful treatment strategy for tandem lesions in the posterior circulation.

責任著者(Corresponding author)

J-STAGEへの登録はこちら（無料）