{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:59:59Z","timestamp":1790693999201,"version":"4.1.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T00:00:00Z","timestamp":1727049600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Randomized controlled trials indicate functional and mortality benefits in endovascular therapy for basilar artery occlusion (BAO). However, these studies only include patients who meet specific prognostic scores. This study investigates radiographic predictors of posterior circulation territory infarcts that may predict neurologic outcome at 90-day post-intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a retrospective cohort study of a prospectively maintained thrombectomy database of all patients who underwent mechanical thrombectomy for BAO. Baseline demographics, comorbidities, baseline functional status (mRS), and severity of presenting neurologic deficits (NIHSS) were collected. Pc-ASPECTS, posterior circulation collateral score (PCCS), and basilar artery on computed tomography angiography (BATMAN) measured radiographic characteristics. Core infarct territory was identified. Primary outcomes were good neurologic outcome (mRS 0\u20133) and poor neurologic outcome (mRS 4\u20136) at 90-day post-thrombectomy. 90-day mortality was a secondary outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      About 21.5% of patients achieved a good neurologic outcome. About 32.3% of patients were deceased at 90 days. Receiver operating characteristic analysis shows PCCS collateral scores (AUC\u2009=\u20090.74, SE\u2009=\u20090.03, CI\u2009=\u20090.62\u20130.74) and BATMAN (AUC\u2009=\u20090.72, SE\u2009=\u20090.04, CI\u2009=\u20090.35\u20130.49) have potential to differentiate between those with good neurologic outcome from those with poor neurologic outcome. Although there was no statistically significant difference in AUC between the three curves, pc-ASPECTS score trended toward being weaker predictor of neurologic outcome (AUC\u2009=\u20090.49, SE\u2009=\u20090.04, CI\u2009=\u20090.35\u20130.49). There were significant associations between 90-day poor neurologic outcome and established infarcts within the pons (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.01), left cerebellum (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.01), and left occipital lobe (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.03) on pre-thrombectomy CT.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Low BATMAN and PCCS collateral scores can be predictors of poor neurologic outcomes at 90-day post-thrombectomy for BAO while pc-ASPECTS score may be a weaker predictor of outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15910199241285581","type":"journal-article","created":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T16:25:36Z","timestamp":1727108736000},"page":"2407-2414","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Radiographic predictors of neurologic outcomes in patients with basilar artery occlusion: A single-center experience"],"prefix":"10.1177","volume":"32","author":[{"given":"Daryl","family":"Goldman","sequence":"first","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mais","family":"Al-Kawaz","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7084-2567","authenticated-orcid":false,"given":"Preethi","family":"Reddi","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amol","family":"Mehta","sequence":"additional","affiliation":[{"name":"Ichan School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puneet","family":"Belani","sequence":"additional","affiliation":[{"name":"Ichan School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milad","family":"Shafizadeh","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5902-0637","authenticated-orcid":false,"given":"Stavrous","family":"Matsoukas","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher P","family":"Kellner","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Mocco","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna T","family":"Fifi","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahram","family":"Majidi","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(09)70173-5"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(19)30395-3"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2030297"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.39550"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/17474930221077164"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2207576"},{"key":"e_1_3_2_8_2","article-title":"Endovascular treatment in acute basilar artery occlusion stroke: a brief practice update from the Society of Vascular and Interventional Neurology","volume":"3","author":"Asif KS","year":"2023","unstructured":"Asif KS, Novakovic R, Nguyen TN, et al. Endovascular treatment in acute basilar artery occlusion stroke: a brief practice update from the Society of Vascular and Interventional Neurology. Stroke Vasc Interv Neurol 2023; 3. doi:https:\/\/doi.org\/10.1161\/SVIN.123.000885","journal-title":"Stroke Vasc Interv Neurol"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2018.01.007"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.118.023361"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.029861"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.031371"},{"key":"e_1_3_2_13_2","article-title":"Imaging factors associated with poor outcome in patients with basilar artery occlusion treated with endovascular thrombectomy","volume":"3","author":"Heit JJ","year":"2023","unstructured":"Heit JJ, Mlynash M, Cereda CW, et al. Imaging factors associated with poor outcome in patients with basilar artery occlusion treated with endovascular thrombectomy. Stroke Vasc Interv Neurol 2023; 3. doi:https:\/\/doi.org\/10.1161\/SVIN.122.000767","journal-title":"Stroke Vasc Interv Neurol"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1591019919827505"},{"key":"e_1_3_2_15_2","article-title":"Reversible CT scan hypodensity in acute ischemic stroke patient with low initial Alberta stroke program early CT score (ASPECTS) following endovascular thrombectomy: a case report","volume":"15","author":"Alqahtani MS","year":"2023","unstructured":"Alqahtani MS, Alharbi NF, Alghamdi BG, et al. Reversible CT scan hypodensity in acute ischemic stroke patient with low initial Alberta stroke program early CT score (ASPECTS) following endovascular thrombectomy: a case report. 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