Clinical and Procedural Predictors of Outcomes From the Endovascular Treatment of Posterior Circulation Strokes

Stroke; a Journal of Cerebral Circulation
Maxim MokinAdnan H Siddiqui

Abstract

Patients with posterior circulation strokes have been excluded from recent randomized endovascular stroke trials. We reviewed the recent multicenter experience with endovascular treatment of posterior circulation strokes to identify the clinical, radiographic, and procedural predictors of successful recanalization and good neurological outcomes. We performed a multicenter retrospective analysis of consecutive patients with posterior circulation strokes, who underwent thrombectomy with stent retrievers or primary aspiration thrombectomy (including A Direct Aspiration First Pass Technique [ADAPT] approach). We correlated clinical and radiographic outcomes with demographic, clinical, and technical characteristics. A total of 100 patients were included in the final analysis (mean age, 63.5±14.2 years; mean admission National Institutes of Health Stroke Scale score, 19.2±8.2). Favorable clinical outcome at 3 months (modified Rankin Scale score ≤2) was achieved in 35% of patients. Successful recanalization and shorter time from stroke onset to the start of the procedure were significant predictors of favorable clinical outcome at 90 days. Stent retriever and aspiration thrombectomy as primary treatment approaches showed comparable pr...Continue Reading

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Citations

Feb 3, 2018·Cerebrovascular Diseases·Benjamin GoryUNKNOWN ETIS (Endovascular Treatment in Ischemic Stroke) Investigators
Feb 24, 2017·Stroke; a Journal of Cerebral Circulation·Fana AlemsegedBruce C V Campbell
Nov 2, 2017·Stroke; a Journal of Cerebral Circulation·Mehdi BouslamaAshutosh P Jadhav
Sep 16, 2018·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·R WeberUNKNOWN REVASK investigators
Jul 10, 2018·Journal of the American Heart Association·Dong-Hun KangHee-Joon Bae
Jan 8, 2019·Stroke; a Journal of Cerebral Circulation·Tobias Boeckh-BehrensJohannes Kaesmacher
May 17, 2019·Stroke; a Journal of Cerebral Circulation·Fana AlemsegedUNKNOWN Basilar Artery Treatment and Management (BATMAN) collaborators
Jul 27, 2017·Arquivos de neuro-psiquiatria·Luís Henrique de Castro-AfonsoDaniel Giansante Abud
Jun 14, 2020·Journal of Neurointerventional Surgery·William BoisseauRaphaël Blanc
Aug 5, 2020·Neuroradiology·Muhammad Zeeshan MemonDileep R Yavagal
May 3, 2018·Interventional Neurology·Weston R GordonRandall C Edgell
Sep 22, 2020·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Longfei WuXunming Ji
Jul 12, 2016·Neurosurgery·Ashish Sonig, Elad I Levy
Feb 23, 2020·JAMA Neurology·UNKNOWN Writing Group for the BASILAR GroupQingwu Yang
Jun 23, 2020·Stroke; a Journal of Cerebral Circulation·Hyo Sung Kwak, Jung Soo Park
Dec 19, 2018·Journal of the American Heart Association·Mandy J BinningErol Veznedaroglu
Dec 22, 2020·World Neurosurgery·Guilherme Borghini PazuelloDaniel Giansante Abud
Apr 15, 2019·Journal of Neuroradiology. Journal De Neuroradiologie·Mickey SmithYin C Hu
Jan 21, 2021·Seminars in Neurology·Zuolu Liu, David S Liebeskind
Mar 30, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Junya KanekoUNKNOWN TREAT study group
Apr 30, 2021·Therapeutic Advances in Neurological Disorders·Weidong LuoQingwu Yang
May 6, 2021·Journal of Neurointerventional Surgery·Sanne J den HartogUNKNOWN MR CLEAN Registry investigators
Jun 9, 2020·Interventional Neurology·Jazba SoomroAmrou Sarraj

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