Matches in SemOpenAlex for { <https://semopenalex.org/work/W3173319146> ?p ?o ?g. }
- W3173319146 endingPage "E7" @default.
- W3173319146 startingPage "E7" @default.
- W3173319146 abstract "OBJECTIVE Acute basilar artery occlusion (BAO) harbors a more guarded prognosis after thrombectomy compared with anterior circulation large-vessel occlusion. Whether this is a function of a greater proportion of atherosclerotic/intrinsic lesions is not well studied. The authors aimed to elucidate the prevalence and predictors of intracranial intrinsic atherosclerotic disease in patients with acute BAO and to compare angiographic and clinical outcomes between patients with BAO secondary to embolic versus intrinsic disease. METHODS A prospectively maintained stroke database was reviewed for all patients presenting between January 2013 and December 2019 to a tertiary care academic comprehensive stroke center with acute, nontandem BAO. Patient data were extracted, subdivided by stroke mechanism and treatment modality (embolic [thrombectomy only] and intrinsic [thrombectomy + stenting]), and angiographic and clinical results were compared. RESULTS Of 107 patients, 83 (78%) had embolic occlusions (thrombectomy only) and 24 (22%) had intrinsic disease (thrombectomy + stenting). There was no significant difference in patient age, presenting National Institutes of Health Stroke Scale score, time to presentation, selected medical comorbidities (hypertension, hyperlipidemia, diabetes, and atrial fibrillation), prior stroke, and posterior circulation Alberta Stroke Program Early CT Score. Patients with intrinsic disease were more likely to be active smokers (50% vs 26%, p = 0.04) and more likely to be male (88% vs 48%, p = 0.001). Successful recanalization, defined as a modified Thrombolysis in Cerebral Infarction (mTICI) grade of 2b or 3, was achieved in 90% of patients and did not differ significantly between the embolic versus intrinsic groups (89% vs 92%, p > 0.99). A 90-day good outcome (modified Rankin Scale [mRS] score 0–2) was found in 37% of patients overall and did not differ significantly between the two groups (36% vs 41%, p = 0.41). Mortality was 40% overall and did not significantly differ between groups (41% vs 36%, p = 0.45). CONCLUSIONS In the current study, demographic and clinical results for acute BAO showed that compared with intrinsic disease, thromboembolic disease is a more common mechanism of acute BAO, with 78% of patients undergoing thrombectomy alone. However, there was no significant difference in revascularization and outcome results between patients with embolic disease and those with intrinsic disease." @default.
- W3173319146 created "2021-07-05" @default.
- W3173319146 creator A5043406101 @default.
- W3173319146 creator A5044302002 @default.
- W3173319146 creator A5052798896 @default.
- W3173319146 creator A5057368505 @default.
- W3173319146 creator A5063762550 @default.
- W3173319146 creator A5078736238 @default.
- W3173319146 creator A5086203650 @default.
- W3173319146 date "2021-07-01" @default.
- W3173319146 modified "2023-10-18" @default.
- W3173319146 title "Does stroke etiology influence outcome in the posterior circulation? An analysis of 107 consecutive acute basilar occlusion thrombectomies" @default.
- W3173319146 cites W1773373376 @default.
- W3173319146 cites W1972187733 @default.
- W3173319146 cites W1972750752 @default.
- W3173319146 cites W2095875364 @default.
- W3173319146 cites W2105486230 @default.
- W3173319146 cites W2123634131 @default.
- W3173319146 cites W2128604171 @default.
- W3173319146 cites W2128826265 @default.
- W3173319146 cites W2136214830 @default.
- W3173319146 cites W2137612839 @default.
- W3173319146 cites W2277258071 @default.
- W3173319146 cites W2620477876 @default.
- W3173319146 cites W2798185559 @default.
- W3173319146 cites W2808775026 @default.
- W3173319146 cites W2811074962 @default.
- W3173319146 cites W2902413630 @default.
- W3173319146 cites W2922925358 @default.
- W3173319146 cites W2946716749 @default.
- W3173319146 cites W2992571333 @default.
- W3173319146 cites W2992714669 @default.
- W3173319146 cites W2998708560 @default.
- W3173319146 cites W3006941819 @default.
- W3173319146 cites W3008100387 @default.
- W3173319146 cites W4243182103 @default.
- W3173319146 doi "https://doi.org/10.3171/2021.4.focus2189" @default.
- W3173319146 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34198247" @default.
- W3173319146 hasPublicationYear "2021" @default.
- W3173319146 type Work @default.
- W3173319146 sameAs 3173319146 @default.
- W3173319146 citedByCount "8" @default.
- W3173319146 countsByYear W31733191462022 @default.
- W3173319146 countsByYear W31733191462023 @default.
- W3173319146 crossrefType "journal-article" @default.
- W3173319146 hasAuthorship W3173319146A5043406101 @default.
- W3173319146 hasAuthorship W3173319146A5044302002 @default.
- W3173319146 hasAuthorship W3173319146A5052798896 @default.
- W3173319146 hasAuthorship W3173319146A5057368505 @default.
- W3173319146 hasAuthorship W3173319146A5063762550 @default.
- W3173319146 hasAuthorship W3173319146A5078736238 @default.
- W3173319146 hasAuthorship W3173319146A5086203650 @default.
- W3173319146 hasBestOaLocation W31733191461 @default.
- W3173319146 hasConcept C126322002 @default.
- W3173319146 hasConcept C127413603 @default.
- W3173319146 hasConcept C134018914 @default.
- W3173319146 hasConcept C137627325 @default.
- W3173319146 hasConcept C141071460 @default.
- W3173319146 hasConcept C164705383 @default.
- W3173319146 hasConcept C2776268601 @default.
- W3173319146 hasConcept C2779161974 @default.
- W3173319146 hasConcept C2779450755 @default.
- W3173319146 hasConcept C2779581417 @default.
- W3173319146 hasConcept C2780645631 @default.
- W3173319146 hasConcept C2781012200 @default.
- W3173319146 hasConcept C500558357 @default.
- W3173319146 hasConcept C541997718 @default.
- W3173319146 hasConcept C555293320 @default.
- W3173319146 hasConcept C71924100 @default.
- W3173319146 hasConcept C78519656 @default.
- W3173319146 hasConceptScore W3173319146C126322002 @default.
- W3173319146 hasConceptScore W3173319146C127413603 @default.
- W3173319146 hasConceptScore W3173319146C134018914 @default.
- W3173319146 hasConceptScore W3173319146C137627325 @default.
- W3173319146 hasConceptScore W3173319146C141071460 @default.
- W3173319146 hasConceptScore W3173319146C164705383 @default.
- W3173319146 hasConceptScore W3173319146C2776268601 @default.
- W3173319146 hasConceptScore W3173319146C2779161974 @default.
- W3173319146 hasConceptScore W3173319146C2779450755 @default.
- W3173319146 hasConceptScore W3173319146C2779581417 @default.
- W3173319146 hasConceptScore W3173319146C2780645631 @default.
- W3173319146 hasConceptScore W3173319146C2781012200 @default.
- W3173319146 hasConceptScore W3173319146C500558357 @default.
- W3173319146 hasConceptScore W3173319146C541997718 @default.
- W3173319146 hasConceptScore W3173319146C555293320 @default.
- W3173319146 hasConceptScore W3173319146C71924100 @default.
- W3173319146 hasConceptScore W3173319146C78519656 @default.
- W3173319146 hasIssue "1" @default.
- W3173319146 hasLocation W31733191461 @default.
- W3173319146 hasOpenAccess W3173319146 @default.
- W3173319146 hasPrimaryLocation W31733191461 @default.
- W3173319146 hasRelatedWork W130564172 @default.
- W3173319146 hasRelatedWork W136901553 @default.
- W3173319146 hasRelatedWork W2075711202 @default.
- W3173319146 hasRelatedWork W2086461862 @default.
- W3173319146 hasRelatedWork W2118678945 @default.
- W3173319146 hasRelatedWork W2414559986 @default.
- W3173319146 hasRelatedWork W2528401602 @default.