Endovascular Therapy for Basilar Artery Occlusion: Among the First to Conceptualize, Last to Prove

被引：23
|
作者：
Puetz, Volker [1 ,2 ,6 ]
Lutsep, Helmi L. [3 ]
Nguyen, Thanh N. [4 ,5 ]
机构：
[1] Univ Clin Carl Gustav Carus Tech Univ Dresden, Dresden Neurovasc Ctr, Dresden, Germany
[2] Univ Clin Carl Gustav Carus Tech Univ Dresden, Dept Neurol, Dresden, Germany
[3] Oregon Hlth & Sci Univ, Dept Neurol, Portland, OR 97239 USA
[4] Boston Univ Chobanian, Boston Med Ctr, Dept Neurol, Boston, MA 02118 USA
[5] Avedisian Sch Med, Boston, MA USA
[6] Univ Clin Carl Gustav Carus Tech Univ Dresden, Dept Neurol, Fetscherstr 74, D-01307 Dresden, Germany
来源：
STROKE | 2023年 / 54卷 / 03期
关键词：
basilar artery; endovascular procedures; ischemic stroke; randomized controlled trial; THROMBOLYSIS; OUTCOMES; STROKE; TRIAL;
D O I：
10.1161/STROKEAHA.122.041645
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
In 1981, the dismal outcomes of patients with basilar artery occlusion (BAO) inspired the first reports of intra-arterial thrombolytic treatment in BAO. These reports were among the first to conceptualize that opening an artery could help patients with large vessel occlusion stroke. Whereas multiple anterior circulation LVO trials demonstrated the efficacy of endovascular therapy starting in 2014, proof of benefit for BAO was lacking until 2022. In this commentary, we reflect on how the BASICS (Basilar Artery International Cooperation Study) and BEST (Basilar Artery Occlusion: Endovascular Interventions vs Standard Medical Treatment) trials lay the foundations for clinical trials in BAO, subsequently leading to the positive results of the ATTENTION (Endovascular Treatment for Acute Basilar-Artery Occlusion) and BAOCHE (Basilar Artery Occlusion Chinese Endovascular) trials.
引用
收藏
页码：905 / 908
页数：4
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