Combination approach of retrograde and antegrade for recanalization of long chronic vertebral artery occlusion without stump of the artery ostium: A novel endovascular technique case report
Year: 2025
Type: article
Study design: Case Report
Abstract: Stenosis of the extracranial vertebral artery (VA) is known to contribute to approximately 32% of posterior circulation stroke and carries a high risk of recurrence. However, currently, there is no clear consensus on the optimal therapeutic options for treating this condition. Open surgical options, previously used, are now less favored due to their high rates of morbidity and mortality. Fortunately, the advancement of endovascular interventions has made it possible to perform endovascular reconstruction of extracranial VA lesions. The author presented a case of long chronic extracranial VA occlusion (CEVAO) successfully recanalized without a stump of the artery ostium using a combination of retrograde and antegrade approaches. In selected patients, it is technically feasible to perform endovascular revascularization of long CEVAO without any remaining remnants of the artery ostium by combining retrograde and antegrade approaches.
Source: Brain Circulation
DOI: 10.4103/bc.bc_97_24
Authors: Gang Luo, Dengbin Qi, Zhen Sun, Dapeng Sun, Zhenbo Shi, Feng Gao, Dapeng Mo, Ning Ma, Zhongrong Miao
Institutions: Capital Medical University, Beijing Tian Tan Hospital
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4409134254