{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T23:50:29Z","timestamp":1790639429090,"version":"4.1.0"},"reference-count":45,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["SVIN"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Two recent trials demonstrated a benefit for endovascular therapy (EVT) in the treatment of basilar artery occlusion (BAO). In light of the expected increase in the use of EVT for BAO, we sought to understand the technique preferences of neurointerventionalists performing EVT for BAO.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods<\/jats:title>\n            <jats:p xml:lang=\"en\">We conducted an international online survey of physician opinions on the use of EVT in BAO between January and March 2022. The survey was distributed through stroke and neurointerventional organizations. Survey questions examined selection of patients for the procedure and the techniques currently used for EVT in BAO. Responses from neurointerventionalists were analyzed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Results<\/jats:title>\n            <jats:p xml:lang=\"en\">More than 3000 participants were invited yielding 1245 respondents, of whom 543 were classified as neurointerventionalists across 52 countries and included in this analysis. Most neurointerventionalists would proceed to EVT for occlusions of the V4 segment, the basilar artery, or the posterior cerebral artery, without regard for prior intravenous thrombolysis. For BAO of embolic etiology, aspiration only thrombectomy was the preferred method of 50.3% of neurointerventionalists. For BAO of intracranial atherosclerotic disease etiology, combined stent retriever and aspiration thrombectomy was the preferred method of 40.5% of neurointerventionalists. The majority of neurointerventionalists (88.0%) would proceed to stenting after 3 or fewer failed passes for patients with BAO of intracranial atherosclerotic disease etiology. In patients undergoing stenting, aspirin and clopidogrel was the most common antiplatelet regime (52.4%).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Among the surveyed neurointerventionalists, the most common techniques for EVT of patients with BAO were contact aspiration or combined stent retriever with aspiration thrombectomy. For patients with BAO due to intracranial atherosclerotic disease, the majority of neurointerventionalists were willing to stent and do so most often after 3 or fewer failed passes and with the use of dual antiplatelet medications. Further study is needed to determine the optimal technique for EVT of BAO with or without intracranial atherosclerotic disease.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Key Words<\/jats:title>\n          <\/jats:sec>","DOI":"10.1161\/svin.122.000642","type":"journal-article","created":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T16:25:18Z","timestamp":1668788718000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Basilar Artery Occlusion Thrombectomy Technique: An International Survey of Practice Patterns"],"prefix":"10.1161","volume":"3","author":[{"given":"Piers","family":"Klein","sequence":"first","affiliation":[{"name":"Department of Radiology Boston Medical Center Boston University Chobanian and Avedisian School of Medicine MA"},{"name":"Department of Neurology Boston Medical Center Boston University Chobanian and Avedisian School of Medicine MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Herning","sequence":"additional","affiliation":[{"name":"Department of Radiology Boston Medical Center Boston University Chobanian and Avedisian School of Medicine MA"},{"name":"Department of Neurology Boston Medical Center Boston University Chobanian and Avedisian School of Medicine MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Drumm","sequence":"additional","affiliation":[{"name":"Department of Stroke Medicine Imperial College Healthcare NHS Trust Charing Cross Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Raymond","sequence":"additional","affiliation":[{"name":"Department of Radiology Interventional Neuroradiology Division Centre Hospitalier de l'Universite de Montreal Quebec 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J.","family":"Schonewille","sequence":"additional","affiliation":[{"name":"Department of Neurology St. Antonius Hospital Nieuwegein The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinfeng","family":"Liu","sequence":"additional","affiliation":[{"name":"Stroke Center and Department of Neurology The First Affiliated Hospital of the University of Science and Technology of China Division of Life Sciences and Medicine University of Science and Technology of China Hefei Anhui China"},{"name":"Department of Neurology Affiliated Jinling Hospital Medical School of Nanjing University Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Hu","sequence":"additional","affiliation":[{"name":"Stroke Center and Department of Neurology The First Affiliated Hospital of the University of Science and Technology of China Division of Life Sciences and Medicine University of Science and Technology of China Hefei Anhui 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