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
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TLDR
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.Abstract:
Background The effectiveness of endovascular therapy in patients with stroke caused by basilar-artery occlusion has not been well studied. Methods We randomly assigned patients within 6 ho...read more
Citations
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Journal ArticleDOI
Trial of Endovascular Treatment of Acute Basilar-Artery Occlusion.
Chunrong Tao,Raul G Nogueira,Yuyou Zhu,Jun-feng Sun,Hongxing Han,Guang-xiong Yuan,Changming Wen,Peiyang Zhou,Wenhuo Chen,Guoyong Zeng,Yuwen Li,Zhengfei Ma,Chuanqing Yu,Jun-Quan Su,Zhiming Zhou,Zhongjun Chen,Geng Liao,Yaxuan Sun,Y X Ren,Hui Zhang,Jie Chen,Xincan Yue,Guodong Xiao,Ruiying Liu,Wenhua Liu,Yong Liu,Li Wang,Chao Zhang,Tianlong Liu,Jianlong Song,Rui Li,Pengfei Xu,Yamei Yin,Guoping Wang,Blaise Baxter,Adnan I Qureshi,Xinfeng Liu,Wei Hu +37 more
TL;DR: In a trial involving Chinese patients with basilar-artery occlusion, approximately one third of whom received intravenous thrombolysis, endovascular thrombectomy within 12 hours after stroke onset led to better functional outcomes at 90 days than best medical care but was associated with procedural complications and intracerebral hemorrhage.
Journal ArticleDOI
Trial of Thrombectomy 6 to 24 Hours after Stroke Due to Basilar-Artery Occlusion.
Tudor G Jovin,Chuanhui Li,Longfei Wu,Chuanjie Wu,Jiyan Chen,Changchun Jiang,Zhonghua Shi,Zongen Gao,Cunfeng Song,Wenhuo Chen,Yan-Chao Peng,Chen Yao,Mingyue Wei,Tong Li,Liping Wei,Guodong Xiao,Huanming Yang,Ming Ren,Jiangang Duan,Xinfeng Liu,Qingwu Yang,Yuxiu Liu,Qi-yi Zhu,Wan-chao Shi,Qiyi Zhu,Xiaobo Li,Zaiyu Guo,Qi Yang,Chengbei Hou,Wenbo Zhao,Qingfeng Ma,Yunzhou Zhang,Li-Xin Jiao,Hongqin Zhang,David S Liebeskind,Hui Liang,Ashutosh P Jadhav,Changming Wen,Scott Brown,Liangfu Zhu,Hua-wei Ye,Marc Ribó,Ming-Chao Chang,Haiqing Song,Jun Chen,Xunming Ji +45 more
TL;DR: Among patients with stroke due to basilar-artery occlusion who presented between 6 to 24 hours after symptom onset, thrombectomy led to a higher percentage with good functional status at 90 days than medical therapy but was associated with procedural complications and more cerebral hemorrhages.
Journal ArticleDOI
European Stroke Organisation (ESO)–European Society for Minimally Invasive Neurological Therapy (ESMINT) expedited recommendation on indication for intravenous thrombolysis before mechanical thrombectomy in patients with acute ischemic stroke and anterior circulation large vessel occlusion
Guillaume Turc,Georgios Tsivgoulis,Heinrich J. Audebert,Hieronymus D. Boogaarts,Pervinder Bhogal,Gian Marco De Marchis,Ana Catarina Fonseca,Pooja Khatri,Mikael Mazighi,Natalia Pérez de la Ossa,Peter D. Schellinger,Daniel Strbian,Danilo Toni,Philip White,William Whiteley,Andrea Zini,Wim H. van Zwam,Jens Fiehler +17 more
TL;DR: Six randomized controlled clinical trials have assessed whether mechanical thrombectomy alone is non-inferior to intravenous thrombolysis (IVT) plus MT within 4.5 hours of symptom onset in patients with anterior circulation large vessel occlusion ischemic stroke and no contraindication to IVT.
Journal ArticleDOI
Endovascular treatment for acute basilar artery occlusion: A multicenter randomized controlled trial (ATTENTION)
Chunrong Tao,Rui Li,Yuyou Zhu,Sen Qun,Pengfei Xu,Li Wang,Chao Zhang,Tian-De Liu,Jianlong Song,Wenshan Sun,Guoping Wang,Blaise Baxter,Adnan I Qureshi,Xinfeng Liu,Raul G Nogueira,Wei Hu +15 more
TL;DR: The investigator-initiated ATTENTION will provide evidence for the efficacy and safety of EVT in stroke patients within 12 h after BAO, with a modified Rankin Score of 0–3 at day 90.
Journal ArticleDOI
European Stroke Organisation – European Society for Minimally Invasive Neurological Therapy expedited recommendation on indication for intravenous thrombolysis before mechanical thrombectomy in patients with acute ischaemic stroke and anterior circulation large vessel occlusion
Guillaume Turc,Georgios Tsivgoulis,Heinrich J. Audebert,Hieronymus D. Boogaarts,Pervinder Bhogal,Gian Marco De Marchis,Ana Catarina Fonseca,Pooja Khatri,Mikael Mazighi,Natalia Pérez de la Ossa,Peter D. Schellinger,Daniel Strbian,Danilo Toni,Philip White,William Whiteley,Andrea Zini,Wim H. van Zwam,Jens Fiehler +17 more
TL;DR: Six randomized controlled clinical trials have assessed whether mechanical thrombectomy alone is non-inferior to intravenous thrombolysis (IVT) plus MT within 4.5 hours of symptom onset in patients with anterior circulation large vessel occlusion ischaemic stroke and no contraindication to IVT.
References
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Journal ArticleDOI
A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke
Debbie Beumer,Debbie Beumer,Julie Staals,Jeannette Hofmeijer,Jelis Boiten,J. De Vries,Omid S. Eshghi,Koos Keizer,R. van den Berg,A. van der Lugt,Abstr Act +10 more
TL;DR: In patients with acute ischemic stroke caused by a proximal intracranial occlusion of the anterior circulation, intraarterial treatment administered within 6 hours after stroke onset was effective and safe.
Journal ArticleDOI
Endovascular Therapy for Ischemic Stroke with Perfusion-Imaging Selection
Bruce C.V. Campbell,Leonid Churilov,Nawaf Yassi,Bernard Yan,M. Brooks,F. Miteff,Martin Krause,M. Priglinger,Timothy Ang,Rebecca Scroop,Ben McGuinness,Tissa Wijeratne,Winston Chong,Monica S Badve,H. Rice,L. de Villiers,Henry Ma,Abstr Act +17 more
TL;DR: In patients with ischemic stroke with a proximal cerebral arterial occlusion and salvageable tissue on CT perfusion imaging, early thrombectomy with the Solitaire FR stent retriever, as compared with alteplase alone, improved reperfusion, early neurologic recovery, and functional outcome.
Journal ArticleDOI
Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke
Jeffrey L. Saver,Mayank Goyal,Alain Bonafe,Hans-Christoph Diener,Elad I. Levy,Vitor Mendes Pereira,Gregory W. Albers,Christophe Cognard,David J. Cohen,Werner Hacke,Olav Jansen,Tudor G Jovin,Heinrich Mattle,Raul G Nogueira,Adnan H. Siddiqui,Dileep R. Yavagal,Blaise Baxter,Thomas Devlin,Demetrius K. Lopes,Vivek Y. Reddy,Richard du Mesnil de Rochemont,Oliver C. Singer,Reza Jahan +22 more
TL;DR: In patients receiving intravenous t-PA for acute ischemic stroke, thrombectomy with the use of a stent retriever within 6 hours after onset improved functional outcomes at 90 days.
Journal ArticleDOI
The Heidelberg Bleeding Classification: Classification of Bleeding Events After Ischemic Stroke and Reperfusion Therapy.
Rüdiger von Kummer,Joseph P. Broderick,Bruce C.V. Campbell,Andrew M. Demchuk,Mayank Goyal,Michael D. Hill,Kilian M. Treurniet,Charles B. L. M. Majoie,Henk A. Marquering,Michael V. Mazya,Luis San Roman,Jeffrey L. Saver,Daniel Strbian,William Whiteley,Werner Hacke +14 more
TL;DR: Mixed radiological–clinical classification adds clinical symptoms to the presence of radiological hemorrhage to classify intracranial hemorrhages as symptomatic or asymptomatic as well as pure radiological classification.
Journal ArticleDOI
Basilar artery occlusion
TL;DR: 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.
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