Predictors of Good Outcome After Stent-Retriever Thrombectomy in Acute Basilar Artery Occlusion

Stroke; a Journal of Cerebral Circulation
Woong YoonHeoung Keun Kang

Abstract

Factors related to prognosis after a modern mechanical thrombectomy in patients with acute basilar artery occlusion remain unclear. This study investigated the prognostic factors for patients with acute basilar artery occlusion who underwent a stent-retriever thrombectomy. We analyzed clinical and pretreatment diffusion-weighted imaging (DWI) data in 50 consecutive patients with acute basilar artery occlusion treated with stent-retriever thrombectomy. A good outcome was defined as a modified Rankin Scale score of 0 to 2 at 3 months. The association between clinical and DWI parameters and functional outcome was evaluated with logistic regression analysis. In a univariate analysis, the following variables were significantly associated with outcome: age, hypertension, baseline National Institutes of Health Stroke Scale, posterior circulation Acute Stroke Prognosis Early CT Score on a pretreatment DWI, posterior circulation Acute Stroke Prognosis Early CT Score of ≥7 (versus <7), thalamic infarction, and bilateral thalamic infarction. In a multivariate model, only a low initial National Institutes of Health Stroke Scale score (odds ratio, 0.82; 95% confidence interval, 0.709-0.949; P=0.008) and high DWI posterior circulation Acute ...Continue Reading

References

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Citations

Feb 3, 2018·Cerebrovascular Diseases·Benjamin GoryUNKNOWN ETIS (Endovascular Treatment in Ischemic Stroke) Investigators
Dec 13, 2017·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Scott RaymondJames Rabinov
Jul 10, 2018·Journal of the American Heart Association·Dong-Hun KangHee-Joon Bae
Aug 22, 2017·Neurologia i neurochirurgia polska·Adam WyszomirskiBartosz Karaszewski
May 10, 2019·Journal of the American Heart Association·Morgan GuillaumeUNKNOWN Endovascular Treatment in Ischemic Stroke (ETIS) Investigators
Sep 4, 2020·Neurologia Medico-chirurgica·Yosuke TajimaIzumi Suda
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
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Jun 20, 2020·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·A P JadhavP J Lindsberg
Jun 23, 2020·Stroke; a Journal of Cerebral Circulation·Hyo Sung Kwak, Jung Soo Park
Feb 26, 2019·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Joong-Goo KimDae Chul Suh
Nov 28, 2020·Journal of Neurointerventional Surgery·Isabelle MourandFederico Cagnazzo
Nov 4, 2020·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Juhani RitvonenDaniel Strbian
Jan 9, 2021·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Rahul R KaramchandaniAndrew W Asimos
Mar 4, 2021·Journal of Medical Case Reports·Tomoya KinouchiHiromi Ueta
Mar 30, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Junya KanekoUNKNOWN TREAT study group
May 22, 2021·Frontiers in Neurology·Juhani RitvonenDaniel Strbian
Sep 15, 2021·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Rahul R KaramchandaniAndrew W Asimos
Sep 29, 2021·International Journal of Stroke : Official Journal of the International Stroke Society·Alexander SalernoPatrik Michel

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