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• W4286586867 abstract "Abstract Background The evidence for mechanical thrombectomy in acute basilar artery occlusion has until now remained inconclusive with basilar artery strokes associated with high rates of death and disability. This systematic review and meta-analysis will summarize the available evidence for the effectiveness of mechanical thrombectomy in acute basilar artery occlusion compared to best medical therapy. Methods A systematic review and meta-analysis was performed and presented in conformity with the PRISMA statement (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) to test the primary hypothesis that mechanical thrombectomy for basilar artery occlusion is associated with a different rate of good neurological outcome (modified Rankin Scale (mRS) ≤ 3) at day 90. Secondary outcomes included mortality, symptomatic intracranial hemorrhage (sICH) and excellent functional outcome (mRS ≤ 2). We calculated risk ratios (RRs) and 95% confidence intervals (CIs) to summarize the effect estimates for each outcome. Results We performed a random effects (Mantel-Haenszel) meta-analysis of the four included randomized controlled trials comprising a total of 988 participants. We found a statistically significant improvement in the rates of those with a good functional outcome (mRS 0–3, RR 1.54, 1.16–2.06, p = 0.003) and an excellent functional outcome (mRS 0–2, RR 1.69, 1.05–2.71, p = 0.03) in those who were treated with thrombectomy when compared to best medical therapy alone. Thrombectomy was associated with a higher level of sICH (RR 7.12, 2.16–23.54, p = 0.001) but this was not reflected in a higher mortality rate, conversely the mortality rate was significantly lower in the intervention group (RR 0.76, 0.65–0.89, p = 0.0004). Conclusions Our meta-analysis of the recently presented randomized controlled studies is the first to confirm the disability and mortality benefit of mechanical thrombectomy in basilar artery stroke." @default.
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• W4286586867 date "2022-07-22" @default.
• W4286586867 modified "2023-10-12" @default.
• W4286586867 title "Mechanical Thrombectomy in Acute Basilar Artery Stroke: A Systematic Review and Meta-analysis of Randomized Controlled Trials" @default.
• W4286586867 doi "https://doi.org/10.21203/rs.3.rs-1758290/v1" @default.
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