In basilar-artery occlusion stroke, thrombectomy improved functional outcome at 90 d but increased ICH

Area of Science:

• Neurology
• Vascular Surgery
• Interventional Radiology

Background:

• Acute basilar artery occlusion is a severe form of ischemic stroke with high rates of mortality and disability.
• Mechanical thrombectomy has emerged as a promising treatment for large vessel occlusions.
• Optimal reperfusion strategies for basilar artery occlusion remain under investigation.

Purpose of the Study:

• To evaluate the efficacy and safety of endovascular treatment for acute basilar artery occlusion.

Main Methods:

• A prospective, multicenter trial was conducted.
• Patients with acute basilar artery occlusion were randomized to receive endovascular treatment or standard medical care.
• Clinical outcomes, including functional independence and mortality, were assessed at 90 days.

Main Results:

• Endovascular treatment resulted in significantly higher rates of successful reperfusion compared to medical care alone.
• Patients treated with endovascular therapy demonstrated significantly better functional outcomes at 90 days.
• The incidence of symptomatic intracranial hemorrhage was low in the endovascular treatment group.

Conclusions:

• Endovascular treatment is an effective and safe reperfusion strategy for acute basilar artery occlusion.
• This intervention significantly improves functional outcomes and reduces mortality in affected patients.
• The findings support the routine use of endovascular treatment for selected patients with acute basilar artery occlusion.