{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:37:20Z","timestamp":1761824240566,"version":"3.37.3"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T00:00:00Z","timestamp":1594339200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T00:00:00Z","timestamp":1594339200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100018936","name":"Universit\u00e4tsklinikum Heidelberg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100018936","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neuroradiology"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec>\n<jats:title>Abstract<\/jats:title>\n<\/jats:sec><jats:sec>\n<jats:title>Purpose<\/jats:title>\n<jats:p>To determine the radiation exposure in endovascular stroke treatment (EST) of acute basilar artery occlusions (BAO) and compare it with radiation exposure of EST for embolic middle cerebral artery occlusions (MCAO).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>In this retrospective analysis of an institutional review board\u2212approved prospective stroke database of a comprehensive stroke center, we focused on radiation exposure (as per dose area product in Gy\u2009\u00d7\u2009cm<jats:sup>2<\/jats:sup>, median (IQR)), procedure time, and fluoroscopy time (in minutes, median [IQR]) in patients receiving EST for BAO. Patients who received EST for BAO were matched case by case with patients who received EST for MCAO according to number of thrombectomy attempts, target vessel reperfusion result, and thrombectomy technique.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Overall 180 patients (<jats:italic>n<\/jats:italic>\u2009=\u200990 in each group) were included in this analysis. General anesthesia was conducted more often during EST of BAO (BAO: 75 (83.3%); MCAO: 18 (31.1%), <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Procedure time (BAO: 31 (20\u201343); MCAO: 27 (18\u201338); <jats:italic>p<\/jats:italic> value 0.226) and fluoroscopy time (BAO: 29 (20\u201359); MCAO: 29 (17\u201349), <jats:italic>p<\/jats:italic> value 0.317) were comparable. Radiation exposure was significantly higher in patients receiving EST for BAO (BAO: 123.4 (78.7\u2013204.2); MCAO: 94.3 (65.5\u2013163.7), <jats:italic>p<\/jats:italic> value 0.046), which represents an increase by 23.7%.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Endovascular stroke treatment of basilar artery occlusions is associated with a higher radiation exposure compared with treatment of middle cerebral artery occlusions.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00234-020-02490-0","type":"journal-article","created":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T22:03:39Z","timestamp":1594418619000},"page":"1701-1707","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Radiation exposure in endovascular stroke treatment of acute basilar artery occlusions\u2014a matched-pair analysis"],"prefix":"10.1007","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1374-7854","authenticated-orcid":false,"given":"Charlotte S.","family":"Weyland","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9206-2636","authenticated-orcid":false,"given":"Arne","family":"Potreck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3085-3886","authenticated-orcid":false,"given":"Ulf","family":"Neuberger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5075-704X","authenticated-orcid":false,"given":"Markus A.","family":"M\u00f6hlenbruch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2471-6647","authenticated-orcid":false,"given":"Simon","family":"Nagel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5473-8671","authenticated-orcid":false,"given":"Peter A.","family":"Ringleb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9094-6769","authenticated-orcid":false,"given":"Martin","family":"Bendszus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0672-5718","authenticated-orcid":false,"given":"Johannes A. 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M\u00f6hlenbruch:UNRELATED: Board Membership: Codman; Consultancy: Medtronic, MicroVention, Stryker; Grants\/Grants Pending: Balt*, MicroVention*; Payment for Lectures Including Service on Speakers Bureaus: Medtronic, MicroVention, Stryker. *Money paid to the institution.Simon Nagel:Unrelated: Personal fees from Brainomix, BMS Pfizer and B\u00f6hringer Ingelheim; Grants from Cerenovus.Peter A. Ringleb:Unrelated: Lecture fees, travel support and compensation for advisory boards from Bayer, Boehringer Ingelheim, Daiichi Sankyo, and Pfizer.Martin Bendszus:Activities related to the present article: disclosed no relevant relationships. Activities not related to the present article: grants and personal fees from Bayer, Codman, Guerbet, Medtronic and Novartis; grants from the Hopp Foundation, Siemens, and Stryker; personal fees from Braun, B\u00f6hringer Ingelheim, Roche, Teva, and Vascular Dynamics. Other relationships: disclosed no relevant relationships.Johannes Pfaff:Activities related to the present article: disclosed no relevant relationships. Activities not related to the present article: travel and meeting expenses from Stryker and MicroVention. Other relationships: disclosed no relevant relationships.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interests"}},{"value":"All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.Ethical approval for the prospective stroke data base was provided by Ethikkommission Medizinische Fakul\u00e4tet Universit\u00e4t Heidelberg, Heidelberg (Germany). A separate ethical approval for this retrospective study was waived.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was waived for this single-center retrospective study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Code availability"}}]}}