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 basilar artery occlusion stroke: Analysis of the German Stroke Registry‐Endovascular Treatment
Katharina Feil,Maria Berndt,Christian Maegerlein,Kathleen Bernkopf,Hanna Zimmermann,Moriz Herzberg,Steffen Tiedt,Clemens Küpper,Johannes Wischmann,Sonja Schönecker,Konstantinos Dimitriadis,Thomas Liebig,Marianne Dieterich,Claus Zimmer,Lars Kellert,Tobias Boeckh-Behrens,Silke Wunderlich,A. Ludolph,Karl-Heinz Henn,Arno Reich,Omid Nikoubashman,Martin Wiesmann,Ulrike Ernemann,Sven Poli,Christian H. Nolte,Eberhard Siebert,Sarah Zweynert,Georg Bohner,Laszlo Solymosi,Gabor C. Petzold,Waltraud Pfeilschifter,Fee Keil,Joachim Röther,Bernd Eckert,Jörg Berrouschot,Albrecht Bormann,Anna Alegiani,Jens Fiehler,Christian Gerloff,Götz Thomalla,Sven Thonke,Christopher Bangard,Christoffer Kraemer,Martin Dichgans,Marios-Nikos Psychogios,Jan Liman,Martina Petersen,Florian Stögbauer,Peter Kraft,Mirko Pham,Michael Braun,Gerhard F. Hamann,Christian L. Roth,Klaus Gröschel,Timo Uphaus,Volker Limmroth +55 more
TL;DR: In this paper , the authors performed an analysis of the therapy of patients with basilar artery occlusion in routine clinical practice and found that endovascular thrombectomy is effective in BAO patients.
Journal ArticleDOI
Stent Retriever Thrombectomy for Anterior vs. Posterior Circulation Ischemic Stroke: Analysis of the STRATIS Registry
Reza Jahan,David S Liebeskind,Osama O. Zaidat,Nils Mueller-Kronast,Michael T. Froehler,Jeffrey L. Saver +5 more
TL;DR: In this paper, the authors compared clinical, procedural, and safety outcomes of mechanical thrombectomy for posterior circulation (PC) vs. anterior circulation (AC) occlusions among patients in the STRATIS registry.
Dissertation
Treatment and outcome in basilar artery occlusion
TL;DR: The results do not support unequivocal superiority of IAT over IVT, and the efficacy of I AT versus IVT in patients with an acute BAO needs to be assessed in a randomised controlled trial.
Journal ArticleDOI
Traumatic Vertebral Artery Dissection and Basilar Artery Occlusion/Stroke in a 7-Year-Old Child: A Case Report.
Binh Phung,Trusha Shah +1 more
TL;DR: A 7-year-old boy with VAD complicated by BAO/BAS 4 days after falling off a scooter received Heparinization for 96 hours, followed by 6 months of low-molecular weight heparin injection, resulted in improvement of his neurological symptoms.
Journal ArticleDOI
A Single-Center Experience of Endovascular Treatment in Subtypes of Basilar Artery Occlusion: Embolization Caused by Tandem Vertebral Artery Stenosis May Be Associated with Better Outcomes.
Lin Jiang,Jian-Hong Yang,Jie Ruan,Wenqing Xia,Huan Huang,Hao Zhang,Tian-Wen Chen,Lingfei Li,Congguo Yin +8 more
TL;DR: In this article, the authors compared the surgical procedures and clinical outcomes of mechanical thrombectomy in different subtypes of BAO, including pure embolisms (group 1), arterial-arterial embolism from steno-occlusion of the tandem vertebral artery (group 2), and in situ atherosclerotic thrombinosis (group 3).
References
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Journal ArticleDOI
Mechanical Thrombectomy for Acute Ischemic Stroke: Final Results of the Multi MERCI Trial
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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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