Acute vertebrobasilar artery thrombosis: long-term benefits of vertebral artery stenting

Hassan A, ul Haq T, Khimani F, Ali S, Dhakam S, Syed NA
Correspondence: Dr Nadir Ali Syed, nadir.syed@aku.edu

ABSTRACT
Acute vertebrobasilar artery occlusion is a life-threatening event, even after thrombolytic treatment with local intraarterial (IA) recombinant tissue plasminogen activator. We report a 70-year-old man with acute vertebral artery occlusion in which IA thrombolysis resulted in partial recanalisation and revealed pre-existing severe stenosis as the underlying cause. Stenosis was managed with stenting with excellent long-term clinical as well as angiographical outcomes.

Keywords: basilar artery, stent, thrombolytic therapy, vertebral artery
Singapore Med J 2007; 48(10): e277–e280