{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T18:04:03Z","timestamp":1786125843740,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T00:00:00Z","timestamp":1623715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Basilar artery occlusions (BAOs) are devastating ischemic strokes that account for 1% of all strokes with high morbidity and mortality; however, neuroendovascular techniques such as ADAPT have recently revolutionized the clinical outcomes of these patients.\n                    <jats:sup>1-3<\/jats:sup>\n                    Common underlying pathology in patients with BAO include intracranial atherosclerotic disease (ICAD) as well as thromboembolic origin.\n                    <jats:sup>4<\/jats:sup>\n                    Basilar artery ICAD in a setting of acute stroke portends a poor prognosis and post-thrombectomy residual critical flow limiting stenosis treatment options, including balloon angioplasty with or without stent placement.\n                    <jats:sup>5-7<\/jats:sup>\n                    We present a video illustration of neuroendovascular technique and challenges encountered when managing this pathology.\n                  <\/jats:p>\n                  <jats:p>\n                    Image at 5:42 reprinted with permission from Alawieh et al, Lessons learned over more than 500 stroke thrombectomies using ADAPT with increasing aspiration catheter size,\n                    <jats:italic toggle=\"yes\">Neurosurgery<\/jats:italic>\n                    , 86(1), 2020, pp. 61-70, with permission from the Congress of Neurological Surgeons.\n                    <jats:sup>1<\/jats:sup>\n                  <\/jats:p>","DOI":"10.1093\/ons\/opab180","type":"journal-article","created":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T21:38:19Z","timestamp":1623793099000},"page":"E346-E347","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Neuroendovascular Management of Acute Ischemic Basilar Strokes: 2-Dimensional Operative Video"],"prefix":"10.1227","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4389-0782","authenticated-orcid":false,"given":"Guilherme B F","family":"Porto","sequence":"first","affiliation":[{"name":"Division of Neuroendovascular Surgery, Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, 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