Serendipitous recanalization of basilar artery occlusion

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1 Scopus citations


Objective To describe a case of recanalization of a basilar artery occlusion with intravenous (IV) tenecteplase. Case A 74-year-old man with a history of cardiomyopathy presented to an outside hospital with acute vertigo, dysarthria, gaze deviation, and ataxia. Computerized tomography arteriography demonstrated occlusion of the proximal basilar artery. IV tissue plasminogen activator was ordered; however, the patient received a cardiac dose of IV tenecteplase. The patient was transferred to our facility, whereby symptoms resolved, and repeat computerized tomography arteriography displayed recanalization of the basilar artery. Conclusions Tenecteplase has enhanced biochemical and pharmacokinetic properties that may be ideal for treatment of basilar artery occlusion and should be further investigated in a randomized clinical trial.

Original languageEnglish (US)
Pages (from-to)e671-e673
JournalJournal of Stroke and Cerebrovascular Diseases
Issue number8
StatePublished - Nov 2013


  • Basilar artery occlusion
  • acute stroke
  • tenecteplase
  • thrombolytic therapy

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine


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