Transbrachial Basilar Artery Thrombectomy in a Patient with Aortic Dissection
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512020000300025 |
Resumo: | Abstract Arterial recanalization to restore blood flow in a safe, effective and rapid way is the primary goal in treating hyperacute ischaemic stroke, improving functional outcomes. The clinical benefit of endovascular thrombectomy (EVT) in stroke with large vessel occlusion has been demonstrated and the vascular access route most commonly used for these procedures is the transfemoral approach. When this traditional approach can’t be used, alternative routes, such as the transbrachial ou radial access, may be crucial. In this paper we describe the case of a posterior circulation stroke in a patient with a type A aortic dissection and aortic aneurysm, treated successfully with emergent EVT via the transbrachial access. Given the increasing use of mechanical thrombectomy in acute stroke management and the need to start the treatment as soon as possible it is imperative to optimize all access methods and focus on future studies evaluating alternative vascular approaches. |
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Transbrachial Basilar Artery Thrombectomy in a Patient with Aortic DissectionStrokeBasilar arteryAortic dissectionThrombectomyCatheterization.Abstract Arterial recanalization to restore blood flow in a safe, effective and rapid way is the primary goal in treating hyperacute ischaemic stroke, improving functional outcomes. The clinical benefit of endovascular thrombectomy (EVT) in stroke with large vessel occlusion has been demonstrated and the vascular access route most commonly used for these procedures is the transfemoral approach. When this traditional approach can’t be used, alternative routes, such as the transbrachial ou radial access, may be crucial. In this paper we describe the case of a posterior circulation stroke in a patient with a type A aortic dissection and aortic aneurysm, treated successfully with emergent EVT via the transbrachial access. Given the increasing use of mechanical thrombectomy in acute stroke management and the need to start the treatment as soon as possible it is imperative to optimize all access methods and focus on future studies evaluating alternative vascular approaches.Sociedade Portuguesa de Radiologia e Medicina Nuclear2020-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512020000300025Acta Radiológica Portuguesa v.32 n.3 2020reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512020000300025Proença,F. B.Raposo,F.Madureira,J. B.Campos,C.Teotónio,P.Neto,L.info:eu-repo/semantics/openAccess2024-02-06T17:29:27Zoai:scielo:S2183-13512020000300025Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:33:23.622364Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Transbrachial Basilar Artery Thrombectomy in a Patient with Aortic Dissection |
title |
Transbrachial Basilar Artery Thrombectomy in a Patient with Aortic Dissection |
spellingShingle |
Transbrachial Basilar Artery Thrombectomy in a Patient with Aortic Dissection Proença,F. B. Stroke Basilar artery Aortic dissection Thrombectomy Catheterization. |
title_short |
Transbrachial Basilar Artery Thrombectomy in a Patient with Aortic Dissection |
title_full |
Transbrachial Basilar Artery Thrombectomy in a Patient with Aortic Dissection |
title_fullStr |
Transbrachial Basilar Artery Thrombectomy in a Patient with Aortic Dissection |
title_full_unstemmed |
Transbrachial Basilar Artery Thrombectomy in a Patient with Aortic Dissection |
title_sort |
Transbrachial Basilar Artery Thrombectomy in a Patient with Aortic Dissection |
author |
Proença,F. B. |
author_facet |
Proença,F. B. Raposo,F. Madureira,J. B. Campos,C. Teotónio,P. Neto,L. |
author_role |
author |
author2 |
Raposo,F. Madureira,J. B. Campos,C. Teotónio,P. Neto,L. |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Proença,F. B. Raposo,F. Madureira,J. B. Campos,C. Teotónio,P. Neto,L. |
dc.subject.por.fl_str_mv |
Stroke Basilar artery Aortic dissection Thrombectomy Catheterization. |
topic |
Stroke Basilar artery Aortic dissection Thrombectomy Catheterization. |
description |
Abstract Arterial recanalization to restore blood flow in a safe, effective and rapid way is the primary goal in treating hyperacute ischaemic stroke, improving functional outcomes. The clinical benefit of endovascular thrombectomy (EVT) in stroke with large vessel occlusion has been demonstrated and the vascular access route most commonly used for these procedures is the transfemoral approach. When this traditional approach can’t be used, alternative routes, such as the transbrachial ou radial access, may be crucial. In this paper we describe the case of a posterior circulation stroke in a patient with a type A aortic dissection and aortic aneurysm, treated successfully with emergent EVT via the transbrachial access. Given the increasing use of mechanical thrombectomy in acute stroke management and the need to start the treatment as soon as possible it is imperative to optimize all access methods and focus on future studies evaluating alternative vascular approaches. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512020000300025 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512020000300025 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2183-13512020000300025 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Radiologia e Medicina Nuclear |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Radiologia e Medicina Nuclear |
dc.source.none.fl_str_mv |
Acta Radiológica Portuguesa v.32 n.3 2020 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137392967286784 |