Evidence map›Paper›PMID 42909601›Full record

ArticleClinical neuroradiology2026

Contact Aspiration Versus Combined Thrombectomy in Basilar Artery Occlusion: Clinical Severity and First-pass Recanalization Are Associated with Outcome.

Juan Vega-Villar, Andrés Javier Barrios-Lopez, Ana María Rojas-Jimenez, Rebeca Bermejo-Garcés, Carlos Domínguez-Rodríguez, Ángela Fernández-López, Carmen de la Rosa, Joaquin Ortega-Quintanilla, Marta Seoane-Dopico, Carmen Trejo and 17 more

Abstract read
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Article in Clinical neuroradiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Juan Vega-VillarHospital Universitario de La Princesa, Madrid, Spain.
Andrés Javier Barrios-LopezHospital Universitario La Paz, Madrid, Spain.
Ana María Rojas-JimenezComplexo Hospitalario Universitario de Vigo, Vigo, Spain.
Rebeca Bermejo-GarcésComplejo Hospitalario de Navarra, Pamplona, Spain.
Carlos Domínguez-RodríguezHospital Universitari Sant Joan D'Alacant, Alicante, Spain.
Ángela Fernández-LópezComplejo Hospitalario Universitario de Albacete, Albacete, Spain.
Carmen de la RosaHospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
Joaquin Ortega-QuintanillaHospital Universitario Son Espases, Palma, Spain.
Marta Seoane-DopicoComplexo Hospitalario Universitario A Coruña, A Coruña, Spain.
Carmen TrejoHospital Clínico San Carlos, Madrid, Spain.ORCID https://orcid.org/0000-0003-4720-3756
Amado Rodríguez-BenítezHospital Universitario Puerta del Mar, Cadiz, Spain.
Oscar BalboaHospital de León, León, Spain.
Cristian OrmeñoHospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Spain.
José Díaz-PérezHospital Universitario Virgen de la Arrixaca, Murcia, Spain.
Jose Luis TaboadaComplejo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain.
Paula Andrea Parra-RamírezComplejo Hospitalario de Cáceres, Cáceres, Spain.
Carlos Hidalgo-BarrancoComplejo Hospitalario Torrecárdenas, Almería, Spain.
Marc Gassio-RiuHospital Universitario de Álava, Vitoria-Gasteiz, Spain.
Eduardo MuriasHospital Universitario Central de Asturias, Oviedo, Spain.
Jose Carlos Mendez-CendónHospital Universitario Ramón y Cajal, Madrid, Spain.
Mario Martínez-GaldamezHospital Clínico Universitario de Valladolid, Valladolid, Spain.ORCID https://orcid.org/0000-0002-8024-4712
Maitane Alonso-LacabeDonostiako Unibertsitate Ospitalea, Donostia / San Sebastian, Spain.
Fernando Aparici-RoblesHospital Universitari i Politècnic La Fe, Valencia, Spain.
Marc Comas-CufíDepartment of Computer Science, Applied Mathematics and Statistics, Universitat de Girona, Girona, Spain.
Josep PuigRadiology Department CDI, Hospital Clínic de Barcelona, Barcelona, Spain. jpuigmd@gmail.com.ORCID https://orcid.org/0000-0003-2791-6599
Joaquín ZamarroHospital Universitario Virgen de la Arrixaca, Murcia, Spain.ORCID https://orcid.org/0000-0002-0504-6775
Pedro NaviaHospital Universitario La Paz, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcute basilar artery occlusion (BAO) carries high rates of death and disability despite endovascular therapy, and the optimal technique remains unclear. We compared contact aspiration (CA) alone with combined CA plus stent retriever (CA + SR) and identified factors associated with first-pass reperfusion and 3‑month outcome.

methodsIn the prospective multicenter SARA-3 registry, the primary outcomes compared between CA and CA + SR were first-pass recanalization (modified Treatment in Cerebral Infarction [mTICI] 2b-3) and 3‑month functional independence. Secondary outcomes were final recanalization, procedural time, safety, 24‑h NIHSS, and mortality. Factors associated with unfavorable outcome (modified Rankin Scale [mRS] 3-6) were assessed by Firth penalized logistic regression, with first-line technique forced in as a sensitivity analysis.

resultsAmong 68 patients (median admission National Institutes of Health Stroke Scale [NIHSS] 11), 50 (73.5%) received CA and 18 (26.5%) CA + SR. The two techniques showed no statistically significant differences in reperfusion, safety, or 3‑month unfavorable outcome (48% vs. 53%; underpowered), but CA was faster (21 vs. 38 min; P = 0.007). Admission NIHSS (odds ratio [OR] 1.08 per point; P = 0.004) and first-pass mTICI 2b-3 (OR 0.06; P < 0.001) were independently associated with outcome; their combination discriminated well (area under the curve 0.83). Forcing technique into the model did not change these associations (CA + SR adjusted OR 1.19; P = 0.81). No baseline characteristic was independently associated with first-pass reperfusion.

conclusionsCA and CA + SR showed no statistically significant difference in 3‑month outcomes, but CA was faster. First-line technique was not associated with functional outcome; instead, outcome reflected baseline stroke severity and first-pass reperfusion, which defined prognostic groups that may aid risk stratification if externally validated.

Indexed as

AspirationBasilar artery occlusionFirst-pass effectStrokeThrombectomy

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.