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
Endovascular Thrombectomy for Acute Basilar Artery Occlusion: A Multicenter Retrospective Observational Study.
Dong-Hun Kang,Cheolkyu Jung,Woong Yoon,Seul Kee Kim,Byung Hyun Baek,Joon-Tae Kim,Man Seok Park,Yong Won Kim,Yang-Ha Hwang,Yong-Sun Kim,Beom Joon Kim,Moon Ku Han,Hee-Joon Bae +12 more
TL;DR: Endovascular thrombectomy was effective and safe for treating patients with acute BAO and age, the baseline National Institute of Health stroke scale, diabetes mellitus, and parenchymal hematoma were associated with better outcomes.
Journal ArticleDOI
Predictors of Good Outcome After Endovascular Therapy for Vertebrobasilar Occlusion Stroke.
Mehdi Bouslama,Diogo C Haussen,Amin Aghaebrahim,Jonathan A. Grossberg,Gregory Walker,Srikant Rangaraju,Anat Horev,Michael Frankel,Raul G Nogueira,Tudor G Jovin,Ashutosh P Jadhav +10 more
TL;DR: Only smoking, low baseline National Institutes of Health Stroke Scale score, and successful reperfusion status were associated with good outcome in patients with posterior circulation stroke treated with endovascular therapy in a retrospective case series.
Journal ArticleDOI
The Basilar Artery on Computed Tomography Angiography Prognostic Score for Basilar Artery Occlusion.
Fana Alemseged,Darshan Shah,Marina Diomedi,Fabrizio Sallustio,Andrew Bivard,Gagan Sharma,Peter Mitchell,Richard Dowling,Steven Bush,Bernard Yan,Carlo Caltagirone,Roberto Floris,Mark W Parsons,Christopher R Levi,Stephen M. Davis,Bruce C.V. Campbell +15 more
TL;DR: The addition of collateral quality to clot burden in BATMAN score seems to improve prognostic accuracy in basilar artery occlusion patients.
Journal ArticleDOI
Intravenous Thrombolysis of Basilar Artery Occlusion: Predictors of Recanalization and Outcome
Tiina Sairanen,Daniel Strbian,Lauri Soinne,Heli Silvennoinen,Oili Salonen,Ville Artto,Ilkka Koskela,Olli Häppölä,Markku Kaste,Perttu J. Lindsberg +9 more
TL;DR: Although most adverse baseline variables, age, symptom severity, but also coma are beyond control, it should not preclude thrombolysis, which may permit independent survival, therapeutic techniques should concentrate on clot location.
Journal ArticleDOI
Acute Basilar Artery Occlusion: Differences in Characteristics and Outcomes after Endovascular Therapy between Patients with and without Underlying Severe Atherosclerotic Stenosis.
TL;DR: The occlusion segment of the basilar artery and the presence or absence of bilateral thalamic infarction on a pretreatment DWI might be helpful for predicting underlying intracranial atherosclerotic stenosis in patients with acute Basilar artery occlusions.
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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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