Journal ArticleDOI
Basilar artery occlusion
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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
Analysis of Treatment Outcome After Endovascular Treatment in Different Pathological Subtypes of Basilar Artery Occlusion: a Single Center Experience.
Xuan Sun,Raynald,Xu Tong,Feng Gao,Yiming Deng,Gaoting Ma,Ning Ma,Dapeng Mo,Ligang Song,Lian Liu,Xiaochuan Huo,Zhongrong Miao +11 more
TL;DR: Embolism from tandem VA steno-occlusion seems to be associated with a lower rate of recanalization and significantly higher rate of mortality as compared with another pathological mechanism of BAO.
Journal ArticleDOI
Posterior circulation tandem occlusions: Classification and techniques.
Joshua H. Weinberg,Ahmad Sweid,Kalyan Sajja,Rawad Abbas,Ashlee Asada,Osman Kozak,Larami MacKenzie,Hana Choe,Michael R. Gooch,Nabeel Herial,Stavropoula Tjoumakaris,Hekmat Zarzour,Robert H. Rosenwasser,Pascal Jabbour +13 more
TL;DR: Endovascular intervention with mechanical thrombectomy is safe and feasible in patients with posterior circulation tandem occlusion, and good outcomes (mRS score < 2) occurred in 7 patients.
Journal ArticleDOI
The efficiency analysis of thrombolytic rt-PA combined with intravascular interventional therapy in patients with acute basilar artery occlusion.
TL;DR: Combined thrombolytic with interventional therapy can effectively promote the prognosis of the patients with acute basilar artery occlusion and suggest that the coma symptom, bilateral Babinski(+), revascularization and coma symptom were closely related to their prognosis after treated.
Journal ArticleDOI
Fluid-Attenuated Inversion Recovery Hyperintensity Is Associated with Hemorrhagic Transformation following Reperfusion Therapy
TL;DR: In patients in the acute stage of stroke, an early FLAIR change is associated with the risk of HT following reperfusion therapy with a highly matched geographic relationship and common risk factors.
Journal ArticleDOI
Vertebrobasilar Artery Calcification and Outcomes in Posterior Circulation Large Vessel Occlusion Thrombectomy.
William K. Diprose,James P. Diprose,Gregory P. Tarr,James A. Sutcliffe,Andrew McFetridge,Stefan Brew,James Caldwell,Ben McGuinness,Michael T.M. Wang,P. Alan Barber +9 more
TL;DR: VBAC is an independent predictor of outcome in patients undergoing endovascular thrombectomy for posterior circulation large vessel occlusion and considering the presence of VBAC might improve prognostication and shared treatment decision-making between patients, families, and physicians.
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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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