{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:49:41Z","timestamp":1791492581073,"version":"4.3.4"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/501100012154","name":"Graduate Research and Innovation Projects of Jiangsu Province","doi-asserted-by":"publisher","award":["No. JX12314462"],"award-info":[{"award-number":["No. JX12314462"]}],"id":[{"id":"10.13039\/501100012154","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cardiovasc Intervent Radiol"],"DOI":"10.1007\/s00270-026-04644-8","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:05:20Z","timestamp":1791489920000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["First-Line Thrombectomy for Acute Intracranial Atherosclerotic Stenosis-Related Vertebrobasilar Artery Occlusion: Stent Retriever-Based Versus Contact Aspiration Thrombectomy Strategies"],"prefix":"10.1007","author":[{"given":"Bo","family":"Huang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangdong","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xian","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linbo","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuezhou","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenyu","family":"Jia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Penghua","family":"Lv","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1293-5789","authenticated-orcid":false,"given":"Haibin","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"issue":"15","key":"4644_CR1","doi-asserted-by":"publisher","first-page":"1361","DOI":"10.1056\/NEJMoa2206317","volume":"387","author":"C Tao","year":"2022","unstructured":"Tao C, Nogueira RG, Zhu Y, et al. Trial of endovascular treatment of acute basilar-artery occlusion. N Engl J Med. 2022;387(15):1361\u201372. https:\/\/doi.org\/10.1056\/NEJMoa2206317.","journal-title":"N Engl J Med"},{"issue":"15","key":"4644_CR2","doi-asserted-by":"publisher","first-page":"1373","DOI":"10.1056\/NEJMoa2207576","volume":"387","author":"TG Jovin","year":"2022","unstructured":"Jovin TG, Li C, Wu L, et al. Trial of thrombectomy 6\u201324 h after stroke due to basilar-artery occlusion. N Engl J Med. 2022;387(15):1373\u201384. https:\/\/doi.org\/10.1056\/NEJMoa2207576.","journal-title":"N Engl J Med"},{"issue":"8","key":"4644_CR3","doi-asserted-by":"publisher","first-page":"e316","DOI":"10.1161\/STR.0000000000000513","volume":"57","author":"S Prabhakaran","year":"2026","unstructured":"Prabhakaran S, Gonzalez NR, Zachrison KS, et al. 2026 guideline for the early management of patients with acute ischemic stroke: a guideline from the American Heart Association\/American Stroke Association. Stroke. 2026;57(8):e316\u2013436. https:\/\/doi.org\/10.1161\/STR.0000000000000513.","journal-title":"Stroke"},{"issue":"10472","key":"4644_CR4","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/s0140-6736(24)01820-8","volume":"405","author":"RG Nogueira","year":"2025","unstructured":"Nogueira RG, Jovin TG, Liu X, et al. Endovascular therapy for acute vertebrobasilar occlusion (VERITAS): a systematic review and individual patient data meta-analysis. Lancet. 2025;405(10472):61\u20139. https:\/\/doi.org\/10.1016\/s0140-6736(24)01820-8.","journal-title":"Lancet"},{"issue":"5","key":"4644_CR5","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1001\/jama.2017.9644","volume":"318","author":"B Lapergue","year":"2017","unstructured":"Lapergue B, Blanc R, Gory B, et al. Effect of endovascular contact aspiration vs stent retriever on revascularization in patients with acute ischemic stroke and large vessel occlusion: the ASTER randomized clinical trial. JAMA. 2017;318(5):443\u201352. https:\/\/doi.org\/10.1001\/jama.2017.9644.","journal-title":"JAMA"},{"issue":"10175","key":"4644_CR6","doi-asserted-by":"publisher","first-page":"998","DOI":"10.1016\/s0140-6736(19)30297-1","volume":"393","author":"AS Turk 3rd","year":"2019","unstructured":"Turk AS 3rd, Siddiqui A, Fifi JT, et al. Aspiration thrombectomy versus stent retriever thrombectomy as first-line approach for large vessel occlusion (COMPASS): a multicentre, randomised, open label, blinded outcome, non-inferiority trial. Lancet. 2019;393(10175):998\u20131008. https:\/\/doi.org\/10.1016\/s0140-6736(19)30297-1.","journal-title":"Lancet"},{"issue":"4","key":"4644_CR7","doi-asserted-by":"publisher","first-page":"1478","DOI":"10.1177\/15910199241254137","volume":"32","author":"X Lan","year":"2026","unstructured":"Lan X, Liang Z, Shen C, et al. Endovascular treatment of embolism-related acute basilar artery occlusion stroke: ADAPT versus stent retriever thrombectomy. Interv Neuroradiol. 2026;32(4):1478\u201384. https:\/\/doi.org\/10.1177\/15910199241254137.","journal-title":"Interv Neuroradiol"},{"issue":"6","key":"4644_CR8","doi-asserted-by":"publisher","first-page":"1482","DOI":"10.3171\/2017.7.JNS171043","volume":"129","author":"B Gory","year":"2018","unstructured":"Gory B, Mazighi M, Blanc R, et al. Mechanical thrombectomy in basilar artery occlusion: influence of reperfusion on clinical outcome and impact of the first-line strategy (ADAPT vs stent retriever). J Neurosurg. 2018;129(6):1482\u201391. https:\/\/doi.org\/10.3171\/2017.7.JNS171043.","journal-title":"J Neurosurg"},{"issue":"4","key":"4644_CR9","doi-asserted-by":"publisher","first-page":"346","DOI":"10.1136\/jnis-2024-021491","volume":"17","author":"L Tournier","year":"2025","unstructured":"Tournier L, Cortese J, Consoli A, et al. Mechanical thrombectomy in basilar artery occlusions: impact of first-line strategy as a function of the occlusion level. J Neurointerv Surg. 2025;17(4):346\u201353. https:\/\/doi.org\/10.1136\/jnis-2024-021491.","journal-title":"J Neurointerv Surg"},{"key":"4644_CR10","doi-asserted-by":"publisher","DOI":"10.1136\/jnis-2026-025360","author":"E Nicolini","year":"2026","unstructured":"Nicolini E, Ciacciarelli A, Saia V, et al. First-pass effect after acute basilar artery occlusion: a comparison of mechanical thrombectomy techniques. J Neurointerv Surg. 2026. https:\/\/doi.org\/10.1136\/jnis-2026-025360.","journal-title":"J Neurointerv Surg"},{"issue":"2","key":"4644_CR11","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1016\/s1474-4422(19)30395-3","volume":"19","author":"X Liu","year":"2020","unstructured":"Liu X, Dai Q, Ye R, et al. Endovascular treatment versus standard medical treatment for vertebrobasilar artery occlusion (BEST): an open-label, randomised controlled trial. Lancet Neurol. 2020;19(2):115\u201322. https:\/\/doi.org\/10.1016\/s1474-4422(19)30395-3.","journal-title":"Lancet Neurol"},{"issue":"6","key":"4644_CR12","doi-asserted-by":"publisher","first-page":"1695","DOI":"10.1161\/strokeaha.122.040008","volume":"54","author":"A de Havenon","year":"2023","unstructured":"de Havenon A, Zaidat OO, Amin-Hanjani S, et al. Large vessel occlusion stroke due to intracranial atherosclerotic disease: identification, medical and interventional treatment, and outcomes. Stroke. 2023;54(6):1695\u2013705. https:\/\/doi.org\/10.1161\/strokeaha.122.040008.","journal-title":"Stroke"},{"issue":"6","key":"4644_CR13","doi-asserted-by":"publisher","first-page":"1460","DOI":"10.1161\/strokeaha.119.024889","volume":"50","author":"ACO Tsang","year":"2019","unstructured":"Tsang ACO, Orru E, Klostranec JM, et al. Thrombectomy outcomes of intracranial atherosclerosis-related occlusions. Stroke. 2019;50(6):1460\u20136. https:\/\/doi.org\/10.1161\/strokeaha.119.024889.","journal-title":"Stroke"},{"issue":"4","key":"4644_CR14","doi-asserted-by":"publisher","first-page":"1202","DOI":"10.3171\/2019.1.Jns182905","volume":"132","author":"DH Kang","year":"2020","unstructured":"Kang DH, Yoon W, Baek BH, et al. Front-line thrombectomy for acute large-vessel occlusion with underlying severe intracranial stenosis: stent retriever versus contact aspiration. J Neurosurg. 2020;132(4):1202\u20138. https:\/\/doi.org\/10.3171\/2019.1.Jns182905.","journal-title":"J Neurosurg"},{"issue":"1","key":"4644_CR15","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1186\/s12883-020-01862-6","volume":"20","author":"J Yoo","year":"2020","unstructured":"Yoo J, Lee SJ, Hong JH, et al. Immediate effects of first-line thrombectomy devices for intracranial atherosclerosis-related occlusion: stent retriever versus contact aspiration. BMC Neurol. 2020;20(1):283. https:\/\/doi.org\/10.1186\/s12883-020-01862-6.","journal-title":"BMC Neurol"},{"issue":"4","key":"4644_CR16","doi-asserted-by":"publisher","first-page":"e255308","DOI":"10.1001\/jamanetworkopen.2025.5308","volume":"8","author":"L Lin","year":"2025","unstructured":"Lin L, Liu F, Yi T, et al. Tirofiban on first-pass recanalization in acute stroke endovascular thrombectomy: the OPTIMISTIC randomized clinical trial. JAMA Netw Open. 2025;8(4):e255308. https:\/\/doi.org\/10.1001\/jamanetworkopen.2025.5308.","journal-title":"JAMA Netw Open"},{"issue":"9136","key":"4644_CR17","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1016\/s0140-6736(98)08020-9","volume":"352","author":"W Hacke","year":"1998","unstructured":"Hacke W, Kaste M, Fieschi C, et al. Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II) Second European-Australasian Acute Stroke Study Investigators. Lancet. 1998;352(9136):1245\u201351. https:\/\/doi.org\/10.1016\/s0140-6736(98)08020-9.","journal-title":"Lancet"},{"issue":"2","key":"4644_CR18","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1161\/strokeaha.124.047694","volume":"56","author":"S Ortega-Gutierrez","year":"2025","unstructured":"Ortega-Gutierrez S, Rodriguez-Calienes A, Mierzwa AT, et al. Rescue stenting for failed mechanical thrombectomy in acute basilar artery occlusions: analysis of the PC-SEARCH registry. Stroke. 2025;56(2):401\u201312. https:\/\/doi.org\/10.1161\/strokeaha.124.047694.","journal-title":"Stroke"},{"issue":"3","key":"4644_CR19","doi-asserted-by":"publisher","first-page":"697","DOI":"10.1136\/jnis-2025-023207","volume":"18","author":"V Lambrou","year":"2026","unstructured":"Lambrou V, Poli S, Lapergue B, et al. Rescue intracranial stenting for failed mechanical thrombectomy of vertebrobasilar occlusions: a pooled analysis from the French and German national stroke registries. J Neurointerv Surg. 2026;18(3):697\u2013703. https:\/\/doi.org\/10.1136\/jnis-2025-023207.","journal-title":"J Neurointerv Surg"},{"issue":"20","key":"4644_CR20","doi-asserted-by":"publisher","first-page":"1397","DOI":"10.1161\/circulationaha.125.075429","volume":"152","author":"F Gao","year":"2025","unstructured":"Gao F, Tong X, Wei M, et al. Bailout intracranial angioplasty or stenting after thrombectomy for acute large vessel occlusion: 1-year outcomes of ANGEL-REBOOT. Circ. 2025;152(20):1397\u2013407. https:\/\/doi.org\/10.1161\/circulationaha.125.075429.","journal-title":"Circ"},{"issue":"10","key":"4644_CR21","doi-asserted-by":"publisher","first-page":"1995","DOI":"10.1007\/s10072-019-03977-2","volume":"40","author":"M Sparaco","year":"2019","unstructured":"Sparaco M, Ciolli L, Zini A. Posterior circulation ischaemic stroke-a review part I: anatomy, aetiology and clinical presentations. Neurol Sci. 2019;40(10):1995\u20132006. https:\/\/doi.org\/10.1007\/s10072-019-03977-2.","journal-title":"Neurol Sci"},{"issue":"4","key":"4644_CR22","doi-asserted-by":"publisher","first-page":"1203","DOI":"10.1161\/strokeaha.120.031869","volume":"52","author":"B Jia","year":"2021","unstructured":"Jia B, Ren Z, Mokin M, et al. Current status of endovascular treatment for acute large vessel occlusion in China: a real-world nationwide registry. Stroke. 2021;52(4):1203\u201312. https:\/\/doi.org\/10.1161\/strokeaha.120.031869.","journal-title":"Stroke"},{"issue":"1","key":"4644_CR23","doi-asserted-by":"publisher","first-page":"165","DOI":"10.3171\/2023.10.JNS232084","volume":"141","author":"W Chen","year":"2024","unstructured":"Chen W, Liu J, Yang L, et al. Development and internal-external validation of the ATHE scale: predicting acute large vessel occlusion due to underlying intracranial atherosclerosis prior to endovascular treatment. J Neurosurg. 2024;141(1):165\u201374. https:\/\/doi.org\/10.3171\/2023.10.JNS232084.","journal-title":"J Neurosurg"},{"issue":"2","key":"4644_CR24","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1007\/s00062-022-01241-3","volume":"33","author":"Y Cai","year":"2023","unstructured":"Cai Y, Gu Y, Wang Y, et al. A clinical prediction model for patients with acute large vessel occlusion due to underlying intracranial atherosclerotic stenosis. Clin Neuroradiol. 2023;33(2):519\u201328. https:\/\/doi.org\/10.1007\/s00062-022-01241-3.","journal-title":"Clin Neuroradiol"},{"issue":"5","key":"4644_CR25","doi-asserted-by":"publisher","first-page":"1501","DOI":"10.3171\/2022.1.Jns212924","volume":"137","author":"G Liao","year":"2022","unstructured":"Liao G, Zhang Z, Tung TH, et al. A simple score to predict atherosclerotic or embolic intracranial large-vessel occlusion stroke before endovascular treatment. J Neurosurg. 2022;137(5):1501\u20138. https:\/\/doi.org\/10.3171\/2022.1.Jns212924.","journal-title":"J Neurosurg"},{"issue":"2","key":"4644_CR26","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1007\/s00062-022-01236-0","volume":"33","author":"MA Mutke","year":"2023","unstructured":"Mutke MA, Potreck A, Schmitt N, et al. Exact basilar artery occlusion location indicates stroke etiology and recanalization success in patients eligible for endovascular stroke treatment. Clin Neuroradiol. 2023;33(2):483\u201390. https:\/\/doi.org\/10.1007\/s00062-022-01236-0.","journal-title":"Clin Neuroradiol"}],"container-title":["CardioVascular and Interventional Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00270-026-04644-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00270-026-04644-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00270-026-04644-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:05:21Z","timestamp":1791489921000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00270-026-04644-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":26,"alternative-id":["4644"],"URL":"https:\/\/doi.org\/10.1007\/s00270-026-04644-8","relation":{},"ISSN":["1432-086X"],"issn-type":[{"value":"1432-086X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]},"assertion":[{"value":"18 July 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 October 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"All authors have no competing interest to declare.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the institutional review board and The Ethics Committee of the First Affiliated Hospital with Nanjing Medical University (ethical review no.2025-SR-1037). Written informed consent was waived due to the retrospective design.","order":2,"name":"Ethics","label":"Ethical Approval","group":{"name":"EthicsHeading","label":"Declarations"}}]}}