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What Is the evidence for endovascular thrombectomy in posterior circulation stroke?

Posterior circulation infarcts comprise approximately 25% of ischemic strokes but are less often treated with recanalization therapy and have longer treatment delays compared with anterior circulation strokes. Among posterior circulation strokes, basilar artery occlusion is associated with the most...

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Main Authors: Räty, Silja (Author) , Nguyen, Thanh N. (Author) , Nagel, Simon (Author) , Puetz, Volker (Author) , Alemseged, Fana (Author) , Abdalkader, Mohamad (Author) , Schonewille, Wouter J. (Author) , Strbian, Daniel (Author)
Format: Article (Journal)
Language:English
Published: 18. Aug 2023
In: Seminars in neurology
Year: 2023, Volume: 43, Issue: 3, Pages: 345-355
ISSN:1098-9021
DOI:10.1055/s-0043-1771210
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1055/s-0043-1771210
Verlag, lizenzpflichtig, Volltext: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1771210
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Author Notes:Silja Räty, Thanh N. Nguyen, Simon Nagel, Volker Puetz, Fana Alemseged, Mohamad Abdalkader, Wouter J. Schonewille, Daniel Strbian
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Summary:Posterior circulation infarcts comprise approximately 25% of ischemic strokes but are less often treated with recanalization therapy and have longer treatment delays compared with anterior circulation strokes. Among posterior circulation strokes, basilar artery occlusion is associated with the most severe deficits and the worst prognosis. Endovascular thrombectomy is a standard of care for patients with anterior circulation large vessel occlusion, but not until recently were the first randomized controlled trials on endovascular thrombectomy in basilar artery occlusion published. Two of the trials were neutral, whereas two others showed better functional outcome after thrombectomy up to 24 hours of symptom onset compared with best medical treatment, which in most cases had low rates of intravenous thrombolysis. According to observational data, thrombectomy seems to be safe also in isolated posterior cerebral artery occlusions and might be an option for selected patients, even if its outcome benefit is yet to be demonstrated.
Item Description:Gesehen am 12.06.2024
Physical Description:Online Resource
ISSN:1098-9021
DOI:10.1055/s-0043-1771210

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