case_images: PMC4287913_01
case_images: Digital subtraction angiography, AP (a) and lateral view (b), revealing the mid-basilar occlusion and the origin of the PPHA from the cervical segment of the ICA. The occlusion is marked with a small black arrow. The PPHA is marked with a white arrow
case_images: SNI-5-182-g001.jpg
case_images: PMC4287913_01_SNI-5-182-g001.jpg
case_images: F1
case_images: The digital subtraction arteriogram also revealed the right PPHA originating at approximately the C2-3 disk space and an occlusion within the mid-portion of the BA, distal to the origin of the anterior inferior cerebellar arteries [Figure 1].
case_images: Arteriogram following manual aspiration thrombectomy, showing full recanalization of the basilar artery, Towne's projection (a) and lateral view (b), consistent with TICI 3 flow
case_images: SNI-5-182-g002.jpg
case_images: PMC4287913_01_SNI-5-182-g002.jpg
case_images: F2
case_images: The microwire and microcatheter were removed and after two attempts of manual aspiration using a 20 cc syringe, complete revascularization of the BA was achieved, consistent with TICI 3 flow [Figure 2].