Facing acute basilar occlusions – treatment strategies

Recorded cases from SLICE 2018

1 october 2018 – 16:20

By René CHAPOT

An 84-year-old male falls unconscious and arrives at the nearest hospital with an NIHSS score of 21. After treatment, 24 hours after the operation, his NIHSS score is 9. What happened in between?

Join Prof. René CHAPOT, head of neuroradiology at Alfred Krup Hospital, Essen, Germany, as he leads the expert panel in this lively discussion in which each of the critical steps in the treatment of acute basilar occlusions (BAO) are debated with the different clinical approaches, philosophies, devices and techniques illustrated and explained. How important is the initial CT angiogram, and is it worth the time involved? How long does intubation take? What are the possible advantages and disadvantages in using a double catheter system or a balloon guiding catheter? Is aspiration better or worse than a stent retriever? Why is navigating with a “J” shaped wire – and never a straight or curved wire – critical in avoiding perforations? What is the value of imaging post-op?

These and more as we share the experience of the SLICE experts in this challenging case presentation…

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