Thrombectomy for delayed basilar stent occlusion with good outcome

Abstract—Neurovascular stents have revolutionized the endovascular treatment of wide-necked and fusiform aneurysms; however, potential in-stent thrombosis—resulting in devastating strokes—complicates their use. Interventionalists using these devices must be aware of treatment options for such events. We present the case of a 46-year-old man who underwent stent-supported embolization of an incidental basilar aneurysm followed by in-stent thrombosis 6 weeks later. Though he presented at that time after 24 h of symptom onset with complete occlusion of the basilar artery, delayed thrombectomy and thrombolysis resulted in a good clinical outcome.