File:Basilar artery thrombosis treated with intra-arterial urokinase (Radiopaedia 34571-35949 B 6).png

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Summary:

Description
  • Radiopaedia case ID: 34571
  • Image ID: 11320874
  • Image stack position: 6/22
  • Plane projection: Frontal
  • Aux modality: Right vertebral artery (post urokinase)
  • Study findings: 6 F right CFA sheath inserted. Cerebral DSA showed proximal total occlusion of basilar artery (proximal to AICA). A 6 F straight envoy guide catheter was placed in the midsegment of the RIGHT Vertebral artery. Renegade microcatheter placed within and beyond basilar thrombus under roadmap control. IA urokinase was infused distal, within and proximal to the thrombus. After infusion of 750,000 units of urokinase, TIMI 3 basilar artery recanalization was achieved. Control angiogram showed mild residual elongated stenosis ~40% of the mid basilar artery. No angiographic complications.
  • Modality: DSA (angiography)
  • System: Central Nervous System
  • Findings: Separate filling defects are demonstrated in the basilar artery and the right vertebral artery distal to the C1 arch. This finding is consistent with thrombus within the right vertebral and basilar artery.
Date Published: 23rd Jul 2015
Source https://radiopaedia.org/cases/basilar-artery-thrombosis-treated-with-intra-arterial-urokinase
Author RMH Core Conditions
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http://creativecommons.org/licenses/by-nc-sa/3.0/

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current13:16, 8 June 2021Thumbnail for version as of 13:16, 8 June 20211,024 × 1,024 (1,018 KB) (talk | contribs)Radiopaedia project rID:34571 (batch #3768-24 B6)

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