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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Endovascular treatment versus standard medical treatment for vertebrobasilar artery occlusion (BEST): an open-label, randomised controlled trial.
Xinfeng Liu,Xinfeng Liu,Qiliang Dai,Ruidong Ye,Wenjie Zi,Wenjie Zi,Yuxiu Liu,Huaiming Wang,Wusheng Zhu,Minmin Ma,Qin Yin,Min Li,Xinying Fan,Wen Sun,Yunfei Han,Qiushi Lv,Rui Liu,Dong Yang,Zhonghua Shi,Dequan Zheng,Xiaorong Deng,Yue Wan,Zhen Wang,Yu Geng,Xingyu Chen,Zhiming Zhou,Geng Liao,Ping Jin,Yumin Liu,Xintong Liu,Meng Zhang,Feng Zhou,Hongchao Shi,Yunfeng Zhang,Fuqiang Guo,Congguo Yin,Guozhong Niu,Mei Zhang,Xueli Cai,Qiyi Zhu,Zhonglun Chen,Yingchun Liang,Bing Li,Min Lin,Wei Wang,Haowen Xu,Xinmin Fu,Wenhua Liu,Xiguang Tian,Zili Gong,Haicun Shi,Chuanming Wang,Penghua Lv,Zhonghai Tao,Liangfu Zhu,Shiquan Yang,Wei Hu,Pingzhou Jiang,David S Liebeskind,Vitor Mendes Pereira,Thomas W. Leung,Bernard Yan,Stephen M. Davis,Gelin Xu,Raul G Nogueira,Yunyun Xiong,Zongjie Shi,Weihong Zheng,Xianjun Huang,Yong Liu,Huagang Li,Kaifu Ke,Shu Yang,Hang Lin,Wei Dan,Lin Chen,Liangqun Rong,Shuiping Wang,Jin Fan,Chengming Xing,Haifeng Li,Weiming Yang,Changqing Wang,Yong Zhang,Xiaobo Li,Vitor Pereira,David Liebeskind,Raul G. Nogueira +87 more
TL;DR: There was no evidence of a difference in favourable outcomes of patients receiving endovascular therapy compared with those receiving standard medical therapy alone, and the trial was terminated early after 131 patients had been randomly assigned because of high crossover rate and poor recruitment.
Journal ArticleDOI
Mechanical recanalization in basilar artery occlusion: The ENDOSTROKE study
Oliver C. Singer,Joachim Berkefeld,Christian H. Nolte,Georg Bohner,Hans-Peter Haring,Johannes Trenkler,Klaus Gröschel,Wibke Müller-Forell,Kurt Niederkorn,Hannes Deutschmann,Tobias Neumann-Haefelin,Carina Hohmann,Matthias Bussmeyer,Anastasios Mpotsaris,Anett Stoll,Albrecht Bormann,Johannes Brenck,Marc Schlamann,Sebastian Jander,Bernd Turowski,Gabor C. Petzold,Horst Urbach,David S Liebeskind +22 more
TL;DR: A study was undertaken to evaluate clinical and procedural factors associated with outcome and recanalization in endovascular stroke treatment (EVT) of basilar artery (BA) occlusion.
Journal ArticleDOI
Endovascular Therapy for Stroke Due to Basilar-Artery Occlusion
Lucianne C.M. Langezaal,Erik J.R.J. van der Hoeven,Francisco Mont’Alverne,João José Freitas de Carvalho,Fabricio O. Lima,Diederik W.J. Dippel,Aad van der Lugt,Rob T.H. Lo,Jelis Boiten,Geert J. Lycklama à Nijeholt,Julie Staals,Wim H. van Zwam Md,Paul J. Nederkoorn,Charles B. L. M. Majoie,Johannes C. Gerber,Mikael Mazighi,Michel Piotin,Andrea Zini,Stefano Vallone,Jeannette Hofmeijer,Sheila Cristina Ouriques Martins,Christian Nolte,Kristina Szabo,Francisco Antunes Dias,Daniel Giansante Abud,Marieke J.H. Wermer,Michel J M Remmers,Hauke Schneider,Christina Rueckert,Karlijn F. de Laat,Albert J. Yoo,Pieter-Jan van Doormaal,Adriaan C.G.M. van Es,Bart J. Emmer,Patrik Michel,Volker Puetz,Heinrich J. Audebert,Octavio M. Pontes-Neto,Jan Albert Vos,L. Jaap Kappelle,Ale Algra,Wouter J. Schonewille +41 more
TL;DR: In this paper, the effectiveness of endovascular therapy in patients with stroke caused by basilar-artery occlusion has not been well studied, and the authors randomly assigned patients within 6 weeks.
Journal ArticleDOI
Assessment of Endovascular Treatment for Acute Basilar Artery Occlusion via a Nationwide Prospective Registry
Wenjie Zi,Zhongming Qiu,Deping Wu,Fengli Li,Hansheng Liu,Wenhua Liu,Wenguo Huang,Zhonghua Shi,Yongjie Bai,Zhensheng Liu,Li Wang,Shiquan Yang,Jie Pu,Changming Wen,Shouchun Wang,Qiyi Zhu,Wenhuo Chen,Congguo Yin,Min Lin,Li Qi,Yaoyi Zhong,Zhen Wang,Wenjun Wu,Huisheng Chen,Xiaoxi Yao,Feng Xiong,Guoyong Zeng,Zhiming Zhou,Zhilin Wu,Yue Wan,Huiyuan Peng,Bing Li,Xinping Hu,Hongbin Wen,Wangtao Zhong,Leyuan Wang,Ping Jin,Fuqiang Guo,Ju Han,Xinmin Fu,Zhibing Ai,Xiguang Tian,Xiaoya Feng,Bo Sun,Zhizhi Huang,Wei Li,Peiyang Zhou,Mingyi Tu,Xiangrong Sun,Hua Li,Wencheng He,Tao Qiu,Zhengzhou Yuan,Chengsong Yue,Jun Yang,Weidong Luo,Zili Gong,Jie Shuai,Raul G Nogueira,Qingwu Yang +59 more
TL;DR: Among patients with acute BAO, EVT administered within 24 hours of estimated occlusion time is associated with better functional outcomes and reduced mortality, and this nonrandomized cohort study was a nationwide prospective registry of consecutive patients presenting with an acute, symptomatic, radiologically confirmed BAO to 47 comprehensive stroke centers in China.
Journal ArticleDOI
Randomized controlled trials - a matter of design
Peter M. Spieth,Anne Sophie Kubasch,Ana Isabel Penzlin,Ben Min-Woo Illigens,Kristian Barlinn,Timo Siepmann +5 more
TL;DR: This review summarizes commonly applied designs and quality indicators of RCTs to provide guidance in interpreting and critically evaluating clinical research data and reflects on the principle of equipoise.
References
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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
Drip, ship, and retrieve: cooperative recanalization therapy in acute basilar artery occlusion.
Thomas Pfefferkorn,Markus Holtmannspötter,Caroline Schmidt,Andreas Bender,Hans-Walter Pfister,Andreas Straube,Thomas E. Mayer,Hartmut Brückmann,M Dichgans,Gunther Fesl +9 more
TL;DR: “Drip, ship, and retrieve” seems to be feasible and safe in acute basilar artery occlusion, and patients appear to benefit from initiation of intravenous thrombolysis in the community hospital before transfer.
Journal ArticleDOI
Extent of Hypoattenuation on CT Angiography Source Images in Basilar Artery Occlusion Prognostic Value in the Basilar Artery International Cooperation Study
Volker Puetz,Andrei Khomenko,Michael D. Hill,Imanuel Dzialowski,Patrik Michel,Christian Weimar,Christine A.C. Wijman,Heinrich Mattle,Stefan T. Engelter,Keith W. Muir,Thomas Pfefferkorn,David Tanne,Kristina Szabo,L. Jaap Kappelle,Ale Algra,Ruediger von Kummer,Andrew M. Demchuk,Wouter J. Schonewille +17 more
TL;DR: PC-ASPECTS on CT angiography source images independently predicted death and functional independence at 1 month in the CTAngiography subgroup of patients in the BASICS registry.
Journal ArticleDOI
Vertebrobasilar revascularization rates and outcomes in the MERCI and multi-MERCI trials.
TL;DR: Outcomes in patients with vertebrobasilar occlusion treated with the MERCI retriever compared favorably with natural history reports and tended to be better in those patients with recanalization.
Journal ArticleDOI
Dissecting Aneurysms of the Basilar Artery in 2 Patients
TL;DR: An uncommon consequence of intracranial vascular disease is the intramural dissection of blood, or “dissecting aneurysm,” and two men with chronic subarachnoid hemorrhage from a posterior fossa mass lesion illustrate the diverse etiologic, clinical, radiographic, and pathologic characteristics of this unusual lesion.
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