{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:02:38Z","timestamp":1792800158649,"version":"4.5.0"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"14","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2018,7,17]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      Despite the recent acceptance of thrombectomy as the standard of care in patients with acute anterior circulation stroke, the benefits of thrombectomy remain uncertain for patients with acute basilar artery occlusion (\n                      <jats:styled-content style=\"fixed-case\">BAO<\/jats:styled-content>\n                      ). This study aimed to evaluate the effectiveness and safety of thrombectomy and to identify predictors of outcomes in a large cohort of patients with acute\n                      <jats:styled-content style=\"fixed-case\">BAO<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      This study included 212 consecutive patients with acute\n                      <jats:styled-content style=\"fixed-case\">BAO<\/jats:styled-content>\n                      who underwent either stent\u2010retriever or contact aspiration thrombectomy as the first\u2010line approach between January 2011 and August 2017 at 3 stroke centers. Clinical and radiologic data were prospectively collected and stored in a database at each center. Multivariable ordinal logistic regression was performed to assess the association between each characteristic and 90\u2010day modified Rankin scale scores. Reperfusion was successful in 91.5% (194\/212) of patients; 44.8% (95\/212) of patients achieved 90\u2010day modified Rankin scale 0 to 2. The symptomatic hemorrhage rate was 1.9% (4\/212) and mortality was 16% (34\/212). In a multivariable ordinal regression, younger age, lower National Institute of Health stroke scale on admission, and absence of diabetes mellitus and parenchymal hematoma were significantly associated with a favorable shift in the overall distribution of 90\u2010day modified Rankin scale scores. Treatment outcomes were similar between patients who received stent\u2010retriever thrombectomy and contact aspiration thrombectomy as the first\u2010line technique.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      Endovascular thrombectomy was effective and safe for treating patients with acute\n                      <jats:styled-content style=\"fixed-case\">BAO<\/jats:styled-content>\n                      . Age, the baseline National Institute of Health stroke scale, diabetes mellitus, and parenchymal hematoma were associated with better outcomes. This study showed no superiority of the stent\u2010retriever over the aspiration thrombectomy for treating acute\n                      <jats:styled-content style=\"fixed-case\">BAO<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.118.009419","type":"journal-article","created":{"date-parts":[[2018,7,7]],"date-time":"2018-07-07T05:15:12Z","timestamp":1530940512000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":125,"title":["Endovascular Thrombectomy for Acute Basilar Artery Occlusion: A Multicenter Retrospective Observational Study"],"prefix":"10.1161","volume":"7","author":[{"given":"Dong\u2010Hun","family":"Kang","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Kyungpook National University School of Medicine Daegu Korea"},{"name":"Department of Radiology Kyungpook National University School of Medicine Daegu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheolkyu","family":"Jung","sequence":"additional","affiliation":[{"name":"Department of Radiology Seoul National University Bundang Hospital Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Woong","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Radiology Chonnam National University Medical School Gwangju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seul Kee","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology Chonnam National University Medical School Gwangju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byung Hyun","family":"Baek","sequence":"additional","affiliation":[{"name":"Department of Radiology Chonnam National University Medical School Gwangju 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Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong\u2010Sun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology Kyungpook National University School of Medicine Daegu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beom Joon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurology and Cerebrovascular Center Seoul National University Bundang Hospital Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moon\u2010Ku","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Neurology and Cerebrovascular Center Seoul National University Bundang Hospital Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hee\u2010Joon","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Neurology and Cerebrovascular Center Seoul National University Bundang Hospital Seongnam 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thrombectomy in basilar artery occlusion: influence of reperfusion on clinical outcome and impact of the first\u2010line strategy (ADAPT vs stent retriever)","author":"Gory B","year":"2018","unstructured":"Gory B, Mazighi M, Blanc R, Labreuche J, Piotin M, Turjman F, Lapergue B; Endovascular Treatment in Ischemic Stroke (ETIS) Research Investigators . Mechanical thrombectomy in basilar artery occlusion: influence of reperfusion on clinical outcome and impact of the first\u2010line strategy (ADAPT vs stent retriever). J Neurosurg. 2018. Available at: http:\/\/thejns.org\/doi\/full\/10.3171\/2017.7.JNS171043. 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