Evidence map›Paper›PMID 42834222›Full record

ArticleNeuroradiology2026

Direct V2 vertebral artery puncture as rescue access for basilar thrombectomy: a technical note.

François Lebeaupin, Brivaël Lemogne, Marc Lenfant, Heloïse Golea, Laura Baptiste, Frederic Ricolfi, Pierre-Olivier Comby

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Article in Neuroradiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

François LebeaupinCHU Dijon Bourgogne, Department of Interventional Neuroradiology., Université Bourgogne Europe, Dijon, France. francois.lebeaupin@chu-dijon.fr.
Brivaël LemogneCHU Dijon Bourgogne, Department of Interventional Neuroradiology., Université Bourgogne Europe, Dijon, France.
Marc LenfantCHU Dijon Bourgogne, Department of Interventional Neuroradiology., Université Bourgogne Europe, Dijon, France.
Heloïse GoleaCHU Dijon Bourgogne, Department of Interventional Neuroradiology., Université Bourgogne Europe, Dijon, France.
Laura BaptisteCHU Dijon Bourgogne, Department of Interventional Neuroradiology., Université Bourgogne Europe, Dijon, France.
Frederic RicolfiCHU Dijon Bourgogne, Department of Interventional Neuroradiology., Université Bourgogne Europe, Dijon, France.
Pierre-Olivier CombyCHU Dijon Bourgogne, Department of Interventional Neuroradiology., Université Bourgogne Europe, Dijon, France. pierre-olivier.comby@chu.dijon.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBasilar artery occlusion (BAO) treated with mechanical thrombectomy (MT) can be complicated by unfavorable supra-aortic anatomy precluding conventional transfemoral or trans-radial access.

methodsWe describe direct percutaneous vertebral artery (VA) puncture as a rescue strategy in three patients with BAO in whom conventional access failed because of chronic vertebral artery occlusion. Roadmap-guided puncture of the V2 segment allowed stent-retriever thrombectomy through a 4 F sheath.

resultsReperfusion (mTICI 2b-2c) was achieved in all three patients, with favorable outcomes (6-month mRS 0-1) and no major access-site complications.

conclusionDirect V2 vertebral artery puncture is a viable, technically demanding rescue option for BAO, reserved for carefully selected patients at highly experienced comprehensive stroke centers.

Indexed as

Basilar artery occlusionEndovascular proceduresMechanical thrombectomyStrokeVascular accessVertebral artery

Identifiers

PMID42834222

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