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Basilar Artery Occlusion Due to Embolism from the Vertebral Artery: Three Case Reports Osamu KIKUCHI 1 , Satoshi USHIKOSHI 1 , Daina KASHIWAZAKI 1 , Yuuya TAKAGAWA 1 , Yuka YOKOYAMA 1 , Minoru AJIKI 1 , Katsuyuki ASAOKA 1 , Ken KAZUMATA 1 , Kouji ITAMOTO 1 1Department of Neurosurgery,Teine Keijinkai Medical Center Keyword: artery to artery embolism , basilar artery occlusion , endovascular treatment pp.669-673
Published Date 2010/7/10
DOI https://doi.org/10.11477/mf.1436101216
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 Without early recanalization,it is well known that acute basilar artery occlusion almost always results in death or severe disability. We report three cases of basilar artery occlusion due to vertebral artery thrombo-embolism. In all cases,the cause of the strokes was artery to artery embolism from the vertebral artery origin. In case 1 and 3,despite complete occlusion of the vertebral artery origin,the thrombus was drained into the basilar artery through collateral flow from the external carotid artery.

 Atherosclerotic lesion of the vertebral artery origin is one of the main embolic sources of basilar artery,in which case,angioplasty or stent placement of the vertebral artery origin should be considered in addition to thrombolysis of the basilar artery.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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