Primary stenting as emergency therapy in acute basilar artery occlusion

Neuroradiology. 2002 Sep;44(9):791-5. doi: 10.1007/s00234-002-0798-7. Epub 2002 Jul 20.


In three patients with acute occlusion of the basilar artery intra-arterial fibrinolysis resulted in only partial recanalization and revealed severe stenosis as the underlying cause. Application of micro-stents without previous dilatation resulted in vessel re-opening. Two patients had an excellent clinical outcome. One patient died 10 days after the stroke due to brainstem infarction. Emergency primary stent application may improve the outcome in acute basilar artery occlusion, if intra-arterial thrombolysis fails to re-establish a sufficient flow.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Emergency Treatment
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Stents*
  • Thrombolytic Therapy
  • Tomography, X-Ray Computed
  • Vertebrobasilar Insufficiency / therapy*