Mechanical Thrombectomy in Basilar Artery Thrombosis: Technical Advances and Safety in a 10-Year Experience

Fesl, Gunther; Holtmannspoetter, Markus; Patzig, Maximilian; Mayer, Thomas; Pfefferkorn, Thomas; Brueckmann, Hartmut; Schulte-Altedorneburg, Gernot

doi:10.1007/s00270-013-0827-4

Cited by 18 publications

(12 citation statements)

References 24 publications

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“…[38][39][40] Experience at the Karolinska Hospital showed a 57% rate of good functional outcome (95% CI 37% to 75%), and of 73% (95% CI 50% to 89%) when there were no signs of acute infarction prior to treatment, with about 21% mortality. 41 Recanalization rates over 75% were reported with new generation devices 37,42 as well as with older generation devices in the MERCI and multi-MERCI trials but with lower benefit. 43 A previous prospective registry, the Basilar Artery International Cooperation Study (BASICS) could not demonstrate superiority of endovascular therapy against IVT; however, it employed mostly oldergeneration devices.…”

Section: Aspects To Be Considered In Mechanical Thrombectomymentioning

confidence: 99%

Mechanical thrombectomy in acute ischemic stroke: Consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT, ESNR and EAN

Wahlgren

Moreira

Michel³

et al. 2015

International Journal of Stroke

328

227

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The original version of this consensus statement on mechanical thrombectomy was approved at the European Stroke Organisation (ESO)-Karolinska Stroke Update conference in Stockholm, 16-18 November 2014. The statement has later, during 2015, been updated with new clinical trials data in accordance with a decision made at the conference. Revisions have been made at a face-to-face meeting during the ESO Winter School in Berne in February, through email exchanges and the final version has then been approved by each society. The recommendations are identical to the original version with evidence level upgraded by 20 February 2015 and confirmed by 15 May 2015. The purpose of the ESO-Karolinska Stroke Update meetings is to provide updates on recent stroke therapy research and to discuss how the results may be implemented into clinical routine. Selected topics are discussed at consensus sessions, for which a consensus statement is prepared and discussed by the participants at the meeting. The statements are advisory to the ESO guidelines committee. This consensus statement includes recommendations on mechanical thrombectomy after

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Section: Aspects To Be Considered In Mechanical Thrombectomymentioning

confidence: 99%

Mechanical thrombectomy in acute ischemic stroke: Consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT, ESNR and EAN

Wahlgren

Moreira

Michel³

et al. 2015

International Journal of Stroke

328

227

View full text Add to dashboard Cite

show abstract

“…The use of retrievable stents for the treatment of endovascular ischemic stroke increased recanalization rates up to 80%-94% [11,[15][16][17][18]. On the other hand, there is still a diminished literature with only few studies on mechanical thrombectomy with stent retrievers in patients with acute BAO [7,18].…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, there is still a diminished literature with only few studies on mechanical thrombectomy with stent retrievers in patients with acute BAO [7,18]. In Baek et al [8] study, 25 patients with BAO were treated within 8 hours of stroke onset with mechanical thrombectomy using Solitaire stent, reported a 88% rate of survival at 3 months (22/25), and more than half of the survivors (55%, 12/22) had a good outcome.…”

Section: Discussionmentioning

confidence: 99%

Mechanical Thrombectomy of Acute Basilar Artery Occlusion: Single Center Experience

Giorgianni¹,

Craparo²,

Pellegrino³

et al. 2016

JNSK

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Purpose: Acute basilar artery occlusion (BAO) is a devastating neurological condition associated with a poor clinical outcome and a high mortality rate. Mechanical thrombectomy using a retrievable stent applied shortly after symptom onset could increase a good functional outcome, improving survival rate in patients with acute BAO. First clinical trials using stent retrievers have shown promising high recanalization rates. This study aimed to evaluate the feasibility, safety and efficacy of mechanical thrombectomy. Material and Methods:Seven consecutive patients (2 female, 5 male) with a mean age of 59,4 (range 40-82) with acute BAO undergone to endovascular therapy: all patients were treated with mechanical thrombectomy using a retrievable stent (in 5 patients with Solitaire-Covidien system, in 2 patients Revive-Codman system); two of these received in addition a intra-arterial thrombolysis (IAT), one was additionally treated with intra-venous thrombolysis (IVT). Successful recanalization was defined as Thrombolysis in Cerebral Infarction (TICI) grade 2b or 3. Good outcome was defined as modified Rankin Scale (mRS) score of 0-2 at 3 months. Results:Median NIHSS score at onset was 15,8 (range 12-22). Median procedure time to maximal recanalization was 72 minutes (range 35-135). Recanalization was achieved in 100% (7/7) of patients. One symptomatic parenchymal hemorrhage occurred in a patient treated additionally with intra-arterial thrombolysis. Median NIHSS score at 7 days from treatment was 7,2 (range 0-20). At 3 months a good outcome (mRS 0-2) was observed in 71,4% (5/7); overall mortality at 3 months was 28,6% (2/7). Conclusion:Mechanical thrombectomy in BAO presents high recanalization rate, with a very low complication rate, improving good outcome and survival rates in patients with BAO.

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“…Une autre étude du même centre que RECOST portant sur 31 patients consécutifs avec occlusion de l'artère basilaire traitée avec le système Solitaire FR retrouvait une bonne corrélation entre un score en diffusion et une évolution clinique favorable [35]. L'essai en cours BASICS a pour but d'évaluer la TM dans les 6 heures.…”

Section: La Question De L'occlusion De La Circulation Postérieureunclassified

Thrombectomie mécanique : techniques, études et questions non résolues

Gauvrit

Nonent

Gentric

2016

Pratique Neurologique - FMC

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Mechanical Thrombectomy in Basilar Artery Thrombosis: Technical Advances and Safety in a 10-Year Experience

Cited by 18 publications

References 24 publications

Mechanical thrombectomy in acute ischemic stroke: Consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT, ESNR and EAN

Mechanical thrombectomy in acute ischemic stroke: Consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT, ESNR and EAN

Mechanical Thrombectomy of Acute Basilar Artery Occlusion: Single Center Experience

Thrombectomie mécanique : techniques, études et questions non résolues

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