ArticleJournal of neurosurgery2017
A leap forward in the endovascular management of acute basilar artery occlusion since the appearance of stent retrievers: a single-center comparative study.
Article in Journal of neurosurgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Posterior circulation acute stroke prognosis early CT scores in predicting functional outcomes: A meta-analysis.PloS one · 2021Pooled it
- Factors influencing functional recovery in posterior circulation stroke following mechanical thrombectomy: a systematic review and meta-analysis.BMJ neurology open · 2026Article
- Big data analysis of endovascular treatment for acute ischemic stroke: a study based on bibliometric analysis.Arquivos de neuro-psiquiatria · 2024Article
- Predictors of delayed reocclusion after successful recanalization in acute basilar artery occlusion patients.Heliyon · 2023Article
- Predictors of unfavorable outcome at 90 days in basilar artery occlusion patients.World journal of clinical cases · 2022Article
- Thrombectomy for Comatose Patients with Basilar Artery Occlusion : A Multicenter Study.Clinical neuroradiology · 2021Article
- Reasons for Failed Mechanical Thrombectomy in Posterior Circulation Ischemic Stroke Patients.Clinical neuroradiology · 2021Article
- Predictors of Functional Outcome and Mortality in Endovascular Treatment for Acute Basilar Artery Occlusion: A Single-Centre Experience.Frontiers in neurology · 2021Article
- Intracranial Stenting as Rescue Therapy After Failure of Mechanical Thrombectomy for Basilar Artery Occlusion: Data From the ANGEL-ACT Registry.Frontiers in neurology · 2021Article
- Thrombectomy in acute vertebrobasilar occlusion: a single-centre experience.Neuroradiology · 2020Article
- Predictors of Good Outcome After Endovascular Treatment for Patients with Vertebrobasilar Artery Occlusion due to Intracranial Atherosclerotic Stenosis.Clinical neuroradiology · 2019Article
- Predictive value of the THRIVE score for outcome in patients with acute basilar artery occlusion treated with thrombectomy.Brain and behavior · 2019Article
- A review of the diagnosis and management of vertebral basilar (posterior) circulation disease.Surgical neurology international · 2018Review
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
OBJECTIVE Contrary to acute ischemic stroke involving the anterior circulation, no randomized trial has yet demonstrated the safety and effectiveness of endovascular management in acute basilar artery occlusion (BAO). Recently developed thrombectomy devices, such as stentrievers and aspiration systems, have helped in improving the endovascular management of acute ischemic stroke. The authors sought to assess the impact of these devices in the endovascular treatment of acute BAO. METHODS A retrospective analysis of 34 consecutive patients treated in Pitié-Salpêtrière Hospital for acute BAO was carried out. All patients had undergone an endovascular procedure. In addition to the global results in terms of safety and effectiveness (recanalization rate and 3-month clinical outcome based on the modified Rankin Scale [mRS]), the authors aimed to determine if the patients treated with the most recently developed devices (i.e., the Solitaire stentriever or the ADAPT catheter) had better angiographic and clinical outcomes than those treated with older endovascular strategies. RESULTS The overall successful recanalization rate (thrombolysis in cerebral infarction score 2b-3) was 50% (17 of 34 patients). A good clinical outcome (mRS score 0-2 at 3-month follow-up) was achieved in 11 (32.3%) of 34 patients. The mortality rate at 3-month follow-up was 29.4% (10 of 34 patients). Patients treated with the Solitaire stentriever and the ADAPT catheter had a higher recanalization rate (12 [92.3%] of 13 patients vs 5 [23.8%] of 21 patients, p = 0.0002) and a shorter mean (± SD) procedure duration (88 ± 31 minutes vs 126 ± 58 minutes, p = 0.04) than patients treated with older devices. CONCLUSIONS The latest devices have improved the effectiveness of mechanical thrombectomy in acute BAO. Their use in further studies may help demonstrate a benefit in the endovascular management of acute BAO.
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