Journal ArticleDOI
Basilar artery occlusion
TLDR
If BAO is recognised early and confirmed with multimodal CT or MRI, intravenous thrombolysis or endovascular treatment can be undertaken, however, the best treatment approach to improve clinical outcome still needs to be ascertained.Abstract:
The clinical presentation of basilar artery occlusion (BAO) ranges from mild transient symptoms to devastating strokes with high fatality and morbidity. Often, non-specific prodromal symptoms such as vertigo or headaches are indicative of BAO, and are followed by the hallmarks of BAO, including decreased consciousness, quadriparesis, pupillary and oculomotor abnormalities, dysarthria, and dysphagia. When clinical findings suggest an acute brainstem disorder, BAO has to be confirmed or ruled out as a matter of urgency. If BAO is recognised early and confirmed with multimodal CT or MRI, intravenous thrombolysis or endovascular treatment can be undertaken. The goal of thrombolysis is to restore blood flow in the occluded artery and salvage brain tissue; however, the best treatment approach to improve clinical outcome still needs to be ascertained.read more
Citations
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Journal ArticleDOI
Endovascular Treatment for Posterior Circulation Stroke in Routine Clinical Practice: Results of the Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands Registry
TL;DR: In this paper , the authors evaluated outcomes of a large posterior circulation stroke (PCS) cohort treated with endovascular treatment in clinical practice and showed that high rates of favorable clinical outcome and successful reperfusion can be achieved with EVT for PCS, despite high mortality.
Journal ArticleDOI
Prediction of intracranial hemorrhages after mechanical thrombectomy of basilar artery occlusion
Ulf Neuberger,Fatih Seker,Silvia Schönenberger,Simon Nagel,Peter A. Ringleb,Martin Bendszus,Johannes Pfaff,Markus A Möhlenbruch +7 more
TL;DR: Administration of GPIIb/IIIa inhibitor during the course of MT of BAO was identified as an important risk factor in the development of any ICH and sICH.
Journal ArticleDOI
Vertebral Artery Stenoses Contribute to the Development of Diffuse Plaques in the Basilar Artery.
Yundi Feng,Yundi Feng,Jian Liu,Tingting Fan,Wenxi Zhang,Xiaoping Yin,Yajun E,Wenchang Tan,Wenchang Tan,Yunlong Huo,Yunlong Huo +10 more
TL;DR: Investigation of morphometry and hemodynamics in intracranial vertebral and basilar arteries of health and diseased patients to enhance the risk assessment of transient ischemic attack (TIA) or posterior infarctions.
Journal ArticleDOI
A thread of hope for successful revascularization for acute embolic basilar artery occlusion due to miserable vertebral artery stump syndrome. A technical report.
Ryosuke Maeoka,Ichiro Nakagawa,Hiroyuki Ohnishi,Yoshihiro Kuga,Hiroyuki Nakase,Hideyuki Ohnishi +5 more
TL;DR: In patients suffering from acute embolic BAO due to VASS, the presence of VA origin occlusion makes endovascular therapy (EVT) difficult to perform and severely limits the technical options for EVT.
Journal ArticleDOI
Acute Stroke Treatment in Patients with Basilar Artery Occlusion: A Single-Center Observational Study.
Isabella Francalanza,Antonio Ciacciarelli,Antonio Armando Caragliano,Carmela Casella,Masina Cotroneo,Cristina Dell’Aera,Maria Fazio,Francesco Grillo,Antonio Pitrone,Sergio Vinci,Giuseppe Trimarchi,Rosa Musolino,Paolino La Spina +12 more
TL;DR: It is confirmed that acute stroke treatment improves clinical outcome in BAO patients, in spite of a delayed diagnosis and an extended therapeutic window, considering lesion volume and localization in DWI MRI.
References
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Journal ArticleDOI
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Journal ArticleDOI
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Journal ArticleDOI
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Journal ArticleDOI
Mechanical Thrombectomy for Acute Ischemic Stroke: Final Results of the Multi MERCI Trial
Wade S. Smith,Gene Sung,Jeffrey L. Saver,Ronald F. Budzik,Gary Duckwiler,David S Liebeskind,Helmi L. Lutsep,Marilyn M. Rymer,Randall T. Higashida,Sidney Starkman,Y. Pierre Gobin +10 more
TL;DR: Higher rates of recanalization were associated with a newer generation thrombectomy device compared with first-generation devices, but these differences did not achieve statistical significance.
Journal ArticleDOI
The penumbra pivotal stroke trial: safety and effectiveness of a new generation of mechanical devices for clot removal in intracranial large vessel occlusive disease.
TL;DR: The results suggest the Penumbra System allows safe and effective revascularization in patients experiencing ischemic stroke secondary to large vessel occlusive disease who present within 8 hours from symptom onset.
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