Evidence map›Paper›PMID 39310678›Full record

ArticleActa clinica Croatica2023

BASILAR ARTERY REOCCLUSION WITHIN 24 HOURS AFTER MECHANICAL THROMBECTOMY SUCCESSFULLY TREATED WITH NEW INTERVENTION.

Goran Knezović, Jelena Milojković, Dmitar Vlahović, Aleksandra Lučić-Prokin, Timea Kokai-Zekić, Slobodan Torbica, Vedran Žigić, Vladimir Knezović, Svetlana Simić, Željko Živanović

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In one paragraph

Article in Acta clinica Croatica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Goran KnezovićDepartment of Neurology, Faculty of Medicine in Novi Sad, University of Novi Sad, Novi Sad, Serbia.
Jelena MilojkovićDepartment of Neurology, University Clinical Center of Vojvodina, Novi Sad, Serbia.
Dmitar VlahovićDepartment of Neurology, Faculty of Medicine in Novi Sad, University of Novi Sad, Novi Sad, Serbia.
Aleksandra Lučić-ProkinDepartment of Neurology, Faculty of Medicine in Novi Sad, University of Novi Sad, Novi Sad, Serbia.
Timea Kokai-ZekićDepartment of Neurology, University Clinical Center of Vojvodina, Novi Sad, Serbia.
Slobodan TorbicaDepartment of Radiology, Faculty of Medicine in Novi Sad, University of Novi Sad, Novi Sad, Serbia.
Vedran ŽigićDepartment of Radiology, University Clinical Center of Vojvodina, Novi Sad, Serbia.
Vladimir KnezovićInstitute of Cardiovascular Diseases, Novi Sad, Vojvodina, Serbia.
Svetlana SimićDepartment of Neurology, Faculty of Medicine in Novi Sad, University of Novi Sad, Novi Sad, Serbia.
Željko ŽivanovićDepartment of Neurology, Faculty of Medicine in Novi Sad, University of Novi Sad, Novi Sad, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute basilar artery occlusion (BAO) may cause ischemia in the region of brainstem, parts of the thalamus, occipital lobes, and cerebellum, resulting in severe disability or mortality rate above 70%. Recurrent BAO has been described in only a small number of cases. We present a case of repeated mechanical thrombectomy (MT) for the tip of basilar artery (BA) reocclusion within 24 hours. A previously healthy 37-year-old male presented with occipital headache, nausea, vomiting, right-sided hemiparesis, within 30 minutes from the onset and NIHSS 18. The patient was vaccinated against COVID-19 with Pfizer-BioNTech vaccine seven days before the onset. On initial computed tomography (CT) scan, the pc-ASPECTS was 10 and CT angiography (CTA) showed the tip of BA thrombosis. Intravenous thrombolytic therapy was administered, followed by MT, achieving mTICI 3 and NIHSS 5 after the procedure. Within 24 hours from the first MT, there was neurological deterioration followed by coma. Urgent CT/CTA was performed and rethrombosis of BA was confirmed with pc-ASPECTS 10. MT was repeated with mTICI 2b. Stroke etiology was undetermined. After 17 days, the patient was discharged and referred to continue rehabilitation treatment. After 90 days of stroke, his NIHSS was 2 and mRS 1. We can consider that early recurrent BAO can be successfully treated with repeated MT.

Indexed as

ThrombectomyAdultBasilar ArteryHumansMaleRecurrenceVertebrobasilar InsufficiencyBasilar artery occlusionMechanical thrombectomypc-ASPECT scoreThrombolysis

Identifiers

PMID39310678
PMCPMC11414005

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