000111682 001__ 111682
000111682 005__ 20230519145608.0
000111682 0247_ $$2doi$$a10.22514/sv.2021.038
000111682 0248_ $$2sideral$$a127863
000111682 037__ $$aART-2021-127863
000111682 041__ $$aeng
000111682 100__ $$aSaldaña Inda, I.$$uUniversidad de Zaragoza
000111682 245__ $$aEndovascular treatment for acute basilar artery occlusion: Descriptive analysis of the experience in a comprehensive stroke centre
000111682 260__ $$c2021
000111682 5060_ $$aAccess copy available to the general public$$fUnrestricted
000111682 5203_ $$aObjectives: To describe the clinical and epidemiological characteristics of patients with basilar artery occlusion (BAO) treated with mechanical thrombectomy (MT) in Aragón, and to compare its anaesthetic management, technical effectivity, security, and prognosis with those of anterior circulation. Methods: 322 patients from the prospective registry of mechanical thrombectomies from Aragon were assessed: 29 with BAO and 293 with an anterior circulation large vessel occlusion. Baseline characteristics, procedural, clinical and safety outcomes variables were compared. Results: Out of 29 patients with BAO that underwent endovascular therapy (62.1% men; average age 69.8 ± 14.05 years) 18 (62.1%) received endovascular therapy (EVT) alone and 11 (37.9%) EVT plus intravenous thrombolysis. Atherothrombotic stroke was the most common etiology (41%). The BAO group had longer Door-to-groin (160 vs 141 min; P = 0.043) and Onset-to-reperfusion times (340 vs 297 min; P = 0.005), and higher use of general anaesthesia (60.7% vs 14.7%; P < 0.01). No statistically significant difference was found for Procedure time (60 vs 50 min; P = 0.231) nor the rate of successful recanalization (72.4% vs 82.7%; P = 0.171). Functional independence at 90 days was significantly worse in the BAO group (17.9% vs 38.2%; P < 0.01). Conclusions: Patients with basilar artery occlusion had higher morbimortality despite similar angiographic results. Mechanical thrombectomy for BAOs is a safe and effective procedure in selected patients. A consensus about the effect of anaesthesia has yet to be reached, for BAO general anaesthesia remains the most frequently used technique.
000111682 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000111682 590__ $$a0.907$$b2021
000111682 592__ $$a0.187$$b2021
000111682 594__ $$a0.5$$b2021
000111682 591__ $$aEMERGENCY MEDICINE$$b28 / 32 = 0.875$$c2021$$dQ4$$eT3
000111682 593__ $$aCritical Care and Intensive Care Medicine$$c2021$$dQ3
000111682 593__ $$aEmergency Medicine$$c2021$$dQ3
000111682 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000111682 700__ $$0(orcid)0000-0002-6506-1037$$aTejada-Meza, H.$$uUniversidad de Zaragoza
000111682 700__ $$aSainz-Pardo, A.
000111682 700__ $$aMoreno Loscertales, C.$$uUniversidad de Zaragoza
000111682 700__ $$0(orcid)0000-0003-3574-3034$$aMarta Moreno, J.$$uUniversidad de Zaragoza
000111682 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000111682 773__ $$g17, 4 (2021), 125-131$$pSigna Vitae$$tSigna Vitae$$x1334-5605
000111682 8564_ $$s661940$$uhttps://zaguan.unizar.es/record/111682/files/texto_completo.pdf$$yVersión publicada
000111682 8564_ $$s3032825$$uhttps://zaguan.unizar.es/record/111682/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000111682 909CO $$ooai:zaguan.unizar.es:111682$$particulos$$pdriver
000111682 951__ $$a2023-05-18-16:06:34
000111682 980__ $$aARTICLE