{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:00:59Z","timestamp":1791230459161,"version":"4.1.0"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n            <jats:title>Background and Purpose\u2014<\/jats:title>\n            <jats:p>We investigated efficacy and safety of acute revascularization with intravenous thrombolysis (IVT) and endovascular treatment (EVT) in ischemic stroke from isolated posterior cerebral artery occlusion, by assessing recanalization, disability, visual, cognitive outcomes, and hemorrhagic complications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods\u2014<\/jats:title>\n            <jats:p>For this retrospective single-center cohort study, we selected all consecutive patients with stroke with isolated posterior cerebral artery occlusion from the Acute Stroke Registry and Analysis of Lausanne registry between January 2003 and July 2018, and compared (1) IVT with conservative treatment (CTr) and (2) EVT to best medical therapy (BMT, ie, CTr or IVT) in terms of 3-month disability and visual field defect, and cognitive domains impaired after stroke. Unadjusted analysis, multivariable logistic regression, and propensity score matched analyses were performed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results\u2014<\/jats:title>\n            <jats:p>\n              Among 106 patients with isolated posterior cerebral artery occlusion, 21 received EVT (13 bridging), 34 IVT alone, and 51 CTr. Median age was 76 years, 47% were female and median National Institutes of Health Stroke Scale score was 7. Complete 24-hour recanalization was more frequent with IVT than CTr (51% versus 9%; OR [95% CI]=10.62 [2.13\u201352.92]) and with EVT compared with BMT (68% versus 34%; OR [95% CI]=4.11 [1.35\u201312.53]). Higher proportions of good disability, visual and cognitive outcomes were observed in IVT versus CTr,\n              <jats:sub>adj<\/jats:sub>\n              ORs (95% CI)=1.65 (0.60\u22124.52), 2.01 (0.58\u22127.01), 2.94 (0.35\u221224.4), respectively, and in EVT versus BMT,\n              <jats:sub>adj<\/jats:sub>\n              ORs (95% CI)=1.44 (0.51\u22124.10), 4.28 (1.00\u221218.29), 4.37 (0.72\u221226.53), respectively. Hemorrhagic complications and mortality did not increase with IVT or EVT.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>s\u2014We show increased odds of recanalization following IVT and even higher after EVT. We observed a trend for a positive effect on disability, visual, and cognitive outcomes with IVT over CTr and with EVT over BMT.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/strokeaha.119.026907","type":"journal-article","created":{"date-parts":[[2019,11,13]],"date-time":"2019-11-13T10:00:23Z","timestamp":1573639223000},"page":"254-261","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":100,"title":["Thrombectomy and Thrombolysis of Isolated Posterior Cerebral Artery Occlusion"],"prefix":"10.1161","volume":"51","author":[{"given":"Davide","family":"Strambo","sequence":"first","affiliation":[{"name":"From the Stroke Center, Neurology Service, Department of Clinical Neurosciences (D.S., J.P.M., G. Sirimarco, S.N., P.M.), Lausanne University Hospital and University of Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Bartolini","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology (B.B., V.D., G. Saliou), Lausanne University Hospital and University of Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Val\u00e9rie","family":"Beaud","sequence":"additional","affiliation":[{"name":"Neuropsychology and Neurorehabilitation Service (V.B.), Lausanne University Hospital and University of Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Pedro","family":"Marto","sequence":"additional","affiliation":[{"name":"From the Stroke Center, Neurology Service, Department of Clinical Neurosciences (D.S., J.P.M., G. Sirimarco, S.N., P.M.), Lausanne University Hospital and University of Lausanne, Switzerland"},{"name":"Department of Neurology, Hospital Egas Moniz, Lisbon, Portugal (J.P.M.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaia","family":"Sirimarco","sequence":"additional","affiliation":[{"name":"From the Stroke Center, Neurology Service, Department of Clinical Neurosciences (D.S., J.P.M., G. Sirimarco, S.N., P.M.), Lausanne University Hospital and University of Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Dunet","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology (B.B., V.D., G. Saliou), Lausanne University Hospital and University of Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Saliou","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology (B.B., V.D., G. Saliou), Lausanne University Hospital and University of Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Nannoni","sequence":"additional","affiliation":[{"name":"From the Stroke Center, Neurology Service, Department of Clinical Neurosciences (D.S., J.P.M., G. Sirimarco, S.N., P.M.), Lausanne University Hospital and University of Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrik","family":"Michel","sequence":"additional","affiliation":[{"name":"From the Stroke Center, Neurology Service, Department of Clinical Neurosciences (D.S., J.P.M., G. Sirimarco, S.N., P.M.), Lausanne University Hospital and University of Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1159\/000016053"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.07.289"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.106.477000"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000158"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1804355"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60738-7"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.110.596189"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.0000027437.22450.bd"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2012-302629"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-12-70"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1159\/000323253"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.118.021785"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000258112.14918.24"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60584-5"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(10)70165-4"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.2176\/nmccrj.cr.2016-0214"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1159\/000328229"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A4594"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00062-016-0497-0"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2016.11.035"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.118.020567"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00163-X"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/practneurol-2017-001685"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2377-9-30"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1159\/000333610"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2011.03384.x"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-1331.2003.00750.x"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-012-6625-0"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.brainres.2013.11.029"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004150170067"}],"container-title":["Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/STROKEAHA.119.026907","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T15:24:45Z","timestamp":1715613885000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/STROKEAHA.119.026907"}},"subtitle":["Cognitive, Visual, and Disability Outcomes"],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1161\/STROKEAHA.119.026907"],"URL":"https:\/\/doi.org\/10.1161\/strokeaha.119.026907","relation":{},"ISSN":["0039-2499","1524-4628"],"issn-type":[{"value":"0039-2499","type":"print"},{"value":"1524-4628","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"assertion":[{"value":"2019-07-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-11-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}