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Thrombectomy of the Posterior Circulation: Tips and Tricks

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Abstract

Posterior circulation (PC) strokes account for 20–25% of all ischemic strokes. Acute symptomatology of PC ischemia has a wide range of presentations since it is an area of the cerebrovasculature rich in potential collateral support. To date, evidence has shown that mechanical thrombectomy (MT) using self-expanding stentrievers and aspiration catheters leads to high rate of recanalization and improved functional outcome in anterior circulation strokes. However, there is limited data available for clinical efficacy of use of such devices in the PC, and mostly current practice is based on small case series findings. In this chapter, we discuss in a case basis some of the existing evidence regarding MT of the PC and provide some procedural tips and tricks useful on daily neurointerventional practice.

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Correspondence to Viktor Szeder .

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Khatibi, K., Szeder, V. (2019). Thrombectomy of the Posterior Circulation: Tips and Tricks. In: Samaniego, E., Hasan, D. (eds) Acute Stroke Management in the Era of Thrombectomy. Springer, Cham. https://doi.org/10.1007/978-3-030-17535-1_12

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  • DOI: https://doi.org/10.1007/978-3-030-17535-1_12

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