A Review of Endovascular Treatment for Posterior Circulation Strokes

被引：8

作者：

Baik, Sung Hyun ^{[1
]}

Kim, Jun Yup ^{[2
]}

Jung, Cheolkyu ^{[1
]}

机构：

[1] Seoul Natl Univ, Dept Radiol, Bundang Hosp, Seongnam, South Korea

[2] Seoul Natl Univ, Dept Neurol, Bundang Hosp, Seongnam, South Korea

来源：

NEUROINTERVENTION | 2023年 / 18卷 / 02期

关键词：

Endovascular treatment; Posterior circulation strokes; Embolism; Intracranial atherosclerosis; Tandem occlusion; BASILAR ARTERY-OCCLUSION; LARGE VESSEL OCCLUSION; ACUTE ISCHEMIC-STROKE; MECHANICAL THROMBECTOMY; VERTEBROBASILAR ARTERY; STENT RETRIEVER; OPEN-LABEL; REVASCULARIZATION; PREDICTORS; STENOSIS;

D O I：

10.5469/neuroint.2023.00213

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Mechanical thrombectomy for acute posterior circulation strokes (PCSs) is recommended based on evidence from anterior circulation strokes (ACSs). Two recent randomized controlled trials showed that endovascular treatment (EVT) leads to better functional outcomes than those of the best medical care. However, many studies have shown that patients undergoing PC-EVT have a higher rate of futile recanalization than those undergoing AC-EVT. The characteristics and outcomes of PC-EVT may differ according to the pathological mechanisms, including cardioembolism, intracranial atherosclerosis, and tandem vertebrobasilar occlusion. We reviewed PC-EVT outcomes reported in recent studies and discussed technical considerations for maximizing treatment efficacy according to the etiology of a PCS.

引用

页码：90 / 106

页数：17

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