COMPARISONING EFFECTS OF MECHANICAL THROMBECTOMY FOR BASILAR ARTERY OCCLUSION WITH THE ANTERIOR CIRCULATION LARGE VESSEL OCCLUSION
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Abstract
Objective: to study the clinical and results of mechanical thrombectomy for basilar artery occlusion (BAO) compared with anterior circulation large artery occlusion (ACLVO): Subjects and methods: a prospective study. A cross-sectional, cross-sectional study comparing 37 patients with BAO and 198 ACLVO, from August 2019 to September 2022. Result: BAO group had NIHSS 19 ± 9.43, time from onset to femoral artery puncture was 316 ± 38 minutes, TICI 2b-3 recanalization rate was 83.78%, mRS (0-3) after 3 months was 35,13%. The ACLVO group had data: 14.57 ± 6.11 points, 261 ± 49 minutes, 88.89% and the mRS (0-3) after 3 months was 58.58%. Conclusion: performing mechanical thrombectomy in patients with BAO had the same recanalization rate as ACLVO, but the outcome was poorer due to the later intervention time and the clinical severity.
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Keywords
basilar artery, cerebral infarction, mechanical thrombectomy, cerebral artery occlusion
References
2. Nguyễn Công Thành, Nguyễn Văn Tuyến, Lê Văn Trường et al (2021), "Nghiên cứu biến chứng của phương pháp lấy huyết khối bằng dụng cụ cơ học ở bệnh nhân đột quỵ thiếu máu não cấp do BAO", Tạp chí Y - Dược học Quân sự Số 2-2021, pp. 40-46.
3. Kernan W.N., Ovbiagele B., Black H.R. et al (2014), "Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack", Stroke, 45(7), pp. 2160-2236.
4. Chen X., Zhao X., Xu F. et al (2021), "A Systematic Review and Meta-Analysis Comparing FAST and BEFAST in Acute Stroke Patients", Front Neurol, 12, pp. 765069.
5. Dornak T., Herzig R., Sanak D. et al (2014), "Management of acute basilar artery occlusion: should any treatment strategy prevail?", Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub, 158(4), pp. 528-34.
6. Meinel T.R., Kaesmacher J., Chaloulos-Iakovidis P. et al (2019), "Mechanical thrombectomy for basilar artery occlusion: efficacy, outcomes, and futile recanalization in comparison with the anterior circulation", Journal of NeuroInterventional Surgery, 11(12), pp. 1174-1180.
7. Mbroh J., Poli K., Tünnerhoff J. et al (2021), "Comparison of Risk Factors, Safety, and Efficacy Outcomes of Mechanical Thrombectomy in Posterior vs. Anterior Circulation Large Vessel Occlusion", Frontiers in Neurology, 12, pp.