<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-1351</journal-id>
<journal-title><![CDATA[Acta Radiológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Radiol Port]]></abbrev-journal-title>
<issn>2183-1351</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Radiologia e Medicina Nuclear]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-13512020000300025</article-id>
<article-id pub-id-type="doi">10.25748/arp.20550</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Transbrachial Basilar Artery Thrombectomy in a Patient with Aortic Dissection]]></article-title>
<article-title xml:lang="pt"><![CDATA[Trombectomia da Artéria Basilar através do Acesso Transbraquial num Paciente com Dissecção da Aorta]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Proença]]></surname>
<given-names><![CDATA[F. B.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Raposo]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Madureira]]></surname>
<given-names><![CDATA[J. B.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teotónio]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Neto]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,CHLN - Hospital de Santa Maria Neuroradiology Department ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,CHLN - Hospital de Santa Maria Neurology Department ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>32</volume>
<numero>3</numero>
<fpage>25</fpage>
<lpage>28</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-13512020000300025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-13512020000300025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-13512020000300025&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Arterial recanalization to restore blood flow in a safe, effective and rapid way is the primary goal in treating hyperacute ischaemic stroke, improving functional outcomes. The clinical benefit of endovascular thrombectomy (EVT) in stroke with large vessel occlusion has been demonstrated and the vascular access route most commonly used for these procedures is the transfemoral approach. When this traditional approach can&#8217;t be used, alternative routes, such as the transbrachial ou radial access, may be crucial. In this paper we describe the case of a posterior circulation stroke in a patient with a type A aortic dissection and aortic aneurysm, treated successfully with emergent EVT via the transbrachial access. Given the increasing use of mechanical thrombectomy in acute stroke management and the need to start the treatment as soon as possible it is imperative to optimize all access methods and focus on future studies evaluating alternative vascular approaches.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A recanalização arterial para restaurar o fluxo sanguíneo de uma forma segura, eficaz e rápida é o objetivo principal no enfarte isquémico agudo, conseguindo melhorar os resultados clínicos. O benefício clínico da trombectomia endovascular (TEV) no AVC com oclusão de um grande vaso tem sido demonstrado e o acesso vascular mais comummente usado para este procedimento é o transfemoral. Quando este acesso não pode ser usado, métodos alternativos, como a via transbraquial ou radial, podem ser cruciais. Neste artigo descrevemos um caso clínico de um AVC da circulação posterior num paciente com dissecção tipo A e aneurisma da aorta, que foi tratado com sucesso com TEV emergente pela via transbraquial. Tendo em conta o uso crescente da TEV no tratamento do AVC agudo e a necessidade de iniciar o tratamento o mais rapidamente possível, é imperativo otimizar todos os métodos de acesso e focar em estudos futuros que avaliem acessos vasculares alternativos.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Stroke]]></kwd>
<kwd lng="en"><![CDATA[Basilar artery]]></kwd>
<kwd lng="en"><![CDATA[Aortic dissection]]></kwd>
<kwd lng="en"><![CDATA[Thrombectomy]]></kwd>
<kwd lng="en"><![CDATA[Catheterization.]]></kwd>
<kwd lng="pt"><![CDATA[AVC]]></kwd>
<kwd lng="pt"><![CDATA[Artéria basilar]]></kwd>
<kwd lng="pt"><![CDATA[Dissecção da aorta;Trombectomia]]></kwd>
<kwd lng="pt"><![CDATA[Cateterização.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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