Recanalization treatments in basilar artery occlusion—Systematic analysis | Zendy

Perttu J. Lindsberg | Zendy; Tiina Sairanen | Zendy; Simon Nagel | Zendy; Oili Salonen | Zendy; Heli Silvennoinen | Zendy; Daniel Strbian | Zendy

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Recanalization treatments in basilar artery occlusion—Systematic analysis

Author(s) -

Perttu J. Lindsberg,

Tiina Sairanen,

Simon Nagel,

Oili Salonen,

Heli Silvennoinen,

Daniel Strbian

Publication year - 2016

Publication title -

european stroke journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.446

H-Index - 16

eISSN - 2396-9881

pISSN - 2396-9873

DOI - 10.1177/2396987316629889

Subject(s) - medicine , thrombolysis , revascularization , modified rankin scale , cohort , stroke (engine) , occlusion , basilar artery , surgery , odds ratio , cohort study , ischemia , ischemic stroke , myocardial infarction , mechanical engineering , engineering

Basilar artery occlusion is a most devastating form of stroke, and the current practice is to reverse it with revascularization therapies. Pharmacological thrombolysis, intravenous or intraarterial, has been adjuncted or replaced with invasive, endovascular thrombectomy procedures. The preferred approach remains unknown and many recanalizations are futile with no clinical benefit. We sought to determine reasons for futility and weigh the existing reports to find whether endovascular mechanical interventions provide superior outcomes over pharmacological thrombolysis alone.

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