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CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(02): 383-385
DOI: 10.1055/s-0042-1750805
Case Report

Endovascular Treatment Strategy for Acute Basilar Artery Occlusion with Unexpected Right-Sided Aortic Arch

Takashi Mizowaki
1   Department of Neurosurgery, Shinsuma General Hospital, Suma-ku, Kobe, Hyogo, Japan
,
Atsushi Fujita
2   Department of Neurosurgery, Kobe University Graduate School of Medicine, Kusunoki-cho, Kobe, Hyogo, Japan
,
Shinichi Miura
1   Department of Neurosurgery, Shinsuma General Hospital, Suma-ku, Kobe, Hyogo, Japan
,
Masahiro Nakahara
1   Department of Neurosurgery, Shinsuma General Hospital, Suma-ku, Kobe, Hyogo, Japan
,
Hirotomo Tanaka
1   Department of Neurosurgery, Shinsuma General Hospital, Suma-ku, Kobe, Hyogo, Japan
,
Shinichi Matsumoto
3   Department of Radiology, Shinsuma General Hospital, Suma-ku, Kobe, Hyogo, Japan
,
Yoshiyuki Takaishi
1   Department of Neurosurgery, Shinsuma General Hospital, Suma-ku, Kobe, Hyogo, Japan
,
Takeshi Kondoh
1   Department of Neurosurgery, Shinsuma General Hospital, Suma-ku, Kobe, Hyogo, Japan
› Author Affiliations Funding None.
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Abstract

A right-sided aortic arch (RAA) is a rare variant of the aortic arch found. We present a case of endovascular treatment (EVT) for acute basilar artery (BA) occlusion with an RAA. A 70-year-old man developed acute ischemic stroke due to BA occlusion. During urgent EVT for BA occlusion with an RAA, which was observed unexpectedly, navigation of the catheter to the target vessel was achieved as a result of an early change in the access route. Flexible treatment strategies are warranted for cases of unexpected anatomical variant in the fight against time for emergent cases, such as acute ischemic stroke.

Keywords

right-sided aortic arch - acute ischemic stroke - endovascular treatment

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki's declaration and its later amendments or comparable ethical standards.


Informed Consent

Informed consent has been obtained from the patient for this study and publication of this case report with accompanying images.Consent for publication was obtained from every individual whose personal data were included in the study.




Publication History

Article published online:
25 August 2022

© 2022. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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