Endovascular Treatment for Posterior Circulation Stroke: Ways to Maximize Therapeutic Efficacy

被引：24

作者：

Lee, Seong-Joon ^{[1
]}

Hong, Ji Man ^{[1
]}

Kim, Jong S. ^{[2
]}

Lee, Jin Soo ^{[1
]}

机构：

[1] Ajou Univ, Dept Neurol, Sch Med, 164 World Cup Ro, Suwon 16499, South Korea

[2] Univ Ulsan, Asan Med Ctr, Dept Neurol, Coll Med, Seoul, South Korea

来源：

JOURNAL OF STROKE | 2022年 / 24卷 / 02期

关键词：

Cerebral infarction; Posterior circulation; Endovascular treatment; Mechanical thrombectomy; Basilar artery occlusion; Vertebrobasilar artery occlusion; BASILAR ARTERY-OCCLUSION; ACUTE ISCHEMIC-STROKE; LARGE VESSEL OCCLUSION; MECHANICAL THROMBECTOMY; VERTEBROBASILAR OCCLUSION; COLLATERAL CIRCULATION; CONTACT ASPIRATION; PATIENT SELECTION; STENT-RETRIEVER; OUTCOMES;

D O I：

10.5853/jos.2022.00941

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The efficacy of endovascular treatment (EVT) in patients with posterior circulation stroke has not been proven. Two recent randomized controlled trials failed to show improved functional outcomes after EVT for posterior circulation stroke (PC-EVT). However, promising results for two additional randomized controlled trials have also been presented at a recent conference. Studies have shown that patients undergoing PC-EVT had a higher rate of futile recanalization than those undergoing EVT for anterior circulation stroke. These findings call for further identification of prognostic factors beyond recanalization. The significance of baseline clinical severity, infarct volume, collaterals, time metrics, core-penumbra mismatch, and methods to accurately measure these parameters are discussed. Furthermore, their interplay on EVT outcomes and the potential to individualize patient selection for PC-EVT are reviewed. We also discuss technical considerations for improving the treatment efficacy of PC-EVT.

引用

页码：207 / 223

页数：17

共 111 条

[1] Frontline thrombectomy strategy and outcome in acute basilar artery occlusion [J].

Abdelrady, Mohamed ;

Ognard, Julien ;

Cagnazzo, Federico ;

Derraz, Imad ;

Lefevre, Pierre-Henri ;

Riquelme, Carlos ;

Gascou, Gregory ;

Arquizan, Caroline ;

Dargazanli, Cyril ;

El Aouni, Mourad Cheddad ;

Ben Salem, Douraied ;

Mourand, Isabelle ;

Costalat, Vincent ;

Gentric, Jean Christophe .

JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2023, 15 (01) :27-+

[2] Patterns and Outcomes of the Top of the Basilar Artery Syndrome: The Role of the Posterior Communicating Artery [J].

Ahn, Sung-Ho ;

Kim, Bum-Joon ;

Kim, Yeon-Jung ;

Kang, Dong-Wha ;

Kwon, Sun U. ;

Kim, Jong S. .

CEREBROVASCULAR DISEASES, 2018, 46 (3-4) :106-115

[3] Thrombectomy for Stroke at 6 to 16 Hours with Selection by Perfusion Imaging [J].

Albers, G. W. ;

Marks, M. P. ;

Kemp, S. ;

Christensen, S. ;

Tsai, J. P. ;

Ortega-Gutierrez, S. ;

McTaggart, R. A. ;

Torbey, M. T. ;

Kim-Tenser, M. ;

Leslie-Mazwi, T. ;

Sarraj, A. ;

Kasner, S. E. ;

Ansari, S. A. ;

Yeatts, S. D. ;

Hamilton, S. ;

Mlynash, M. ;

Heit, J. J. ;

Zaharchuk, G. ;

Kim, S. ;

Carrozzella, J. ;

Palesch, Y. Y. ;

Demchuk, A. M. ;

Bammer, R. ;

Lavori, P. W. ;

Broderick, J. P. ;

Lansberg, M. G. .

NEW ENGLAND JOURNAL OF MEDICINE, 2018, 378 (08) :708-718

[4] Late Window Paradox [J].

Albers, Gregory W. .

STROKE, 2018, 49 (03) :768-771

[5] Cerebral blood volume lesion extent predicts functional outcome in patients with vertebral and basilar artery occlusion [J].

Alemseged, Fana ;

Shah, Darshan G. ;

Bivard, Andrew ;

Kleinig, Timothy J. ;

Yassi, Nawaf ;

Diomedi, Marina ;

Di Giuliano, Francesca ;

Sharma, Gagan ;

Drew, Roy ;

Yan, Bernard ;

Dowling, Richard J. ;

Bush, Steven ;

Sallustio, Fabrizio ;

Caltagirone, Carlo ;

Mercuri, Nicola B. ;

Floris, Roberto ;

Parsons, Mark W. ;

Levi, Christopher R. ;

Mitchell, Peter J. ;

Davis, Stephen M. ;

Campbell, Bruce C., V .

INTERNATIONAL JOURNAL OF STROKE, 2019, 14 (05) :540-547

[6] Response to Late-Window Endovascular Revascularization Is Associated With Collateral Status in Basilar Artery Occlusion [J].

Alemseged, Fana ;

Van der Hoeven, Erik ;

Di Giuliano, Francesca ;

Shah, Darshan ;

Sallustio, Fabrizio ;

Arba, Francesco ;

Kleinig, Timothy J. ;

Bush, Steven ;

Dowling, Richard J. ;

Yan, Bernard ;

Sharma, Gagan ;

Limbucci, Nicola ;

Floris, Roberto ;

Donnan, Geoffrey A. ;

Puetz, Volker ;

Diomedi, Marina ;

Parsons, Mark W. ;

Mitchell, Peter J. ;

Davis, Stephen M. ;

Yassi, Nawaf ;

Schonewille, Wouter J. ;

Campbell, Bruce C. V. ;

Ng, J. L. ;

Williams, C. ;

Zhao, H. ;

McDonald, A. ;

Pesavento, L. ;

Coote, S. ;

Ng, F. C. ;

Thijs, V. ;

Drew, R. ;

Esperon, C. Garcia ;

Spratt, N. ;

Wu, T. ;

Fink, J. ;

Rocco, A. ;

Nappini, S. ;

Morotti, A. ;

Cavallini, A. ;

Kaiser, D. ;

Geber, J. ;

Schwabova, J. P. ;

Tomek, A. ;

Boulouis, G. ;

Benhassen, W. ;

Oxley, T. J. ;

Fifi, J. T. .

STROKE, 2019, 50 (06) :1415-1422

[7] The Basilar Artery on Computed Tomography Angiography Prognostic Score for Basilar Artery Occlusion [J].

Alemseged, Fana ;

Shah, Darshan G. ;

Diomedi, Marina ;

Sallustio, Fabrizio ;

Bivard, Andrew ;

Sharma, Gagan ;

Mitchell, Peter J. ;

Dowling, Richard J. ;

Bush, Steven ;

Yan, Bernard ;

Caltagirone, Carlo ;

Floris, Roberto ;

Parsons, Mark W. ;

Levi, Christopher R. ;

Davis, Stephen M. ;

Campbell, Bruce C. V. .

STROKE, 2017, 48 (03) :631-637

[8] Mechanical thrombectomy for basilar artery thrombosis: a comparison of outcomes with anterior circulation occlusions [J].

Alonso de Lecinana, Maria ;

Kawiorski, Michal M. ;

Ximenez-Carrillo, Alvaro ;

Cruz-Culebras, Antonio ;

Garcia-Pastor, Andres ;

Martinez-Sanchez, Patricia ;

Fernandez-Prieto, Andres ;

Luis Caniego, Jose ;

Carlos Mendez, Jose ;

Zapata-Wainberg, Gustavo ;

De Felipe-Mimbrera, Alicia ;

Diaz-Otero, Fernando ;

Ruiz-Ares, Gerardo ;

Frutos, Remedios ;

Barcena-Ruiz, Eduardo ;

Fandino, Eduardo ;

Marin, Begona ;

Vivancos, Jose ;

Masjuan, Jaime ;

Gil-Nunez, Antonio ;

Diez-Tejedor, Exuperio ;

Fuentes, Blanca .

JOURNAL OF NEUROINTERVENTIONAL SURGERY, 2017, 9 (12) :1173-1178

[9]

ATTENTION investigators, 2022, EUROPEAN STROKE ORG

[10] First-Pass Effect in Basilar Artery Occlusions Insights From the Endovascular Treatment of Ischemic Stroke Registry [J].

Aubertin, Mathilde ;

Weisenburger-Lile, David ;

Gory, Benjamin ;

Richard, Sebastien ;

Blanc, Raphael ;

Ducroux, Celina ;

Piotin, Michel ;

Labreuche, Julien ;

Lucas, Ludovic ;

Dargazanli, Cyril ;

Benali, Amel ;

Bourcier, Romain ;

Detraz, Lili ;

Vannier, Stephane ;

Guillen, Maud ;

Eugene, Francois ;

Walker, Gregory ;

Lun, Ronda ;

Guenego, Adrien ;

Consoli, Arturo ;

Marnat, Gaultier ;

Maier, Benjamin ;

Lapergue, Bertrand ;

Fahed, Robert .

STROKE, 2021, 52 (12) :3777-3785

← 1 2 3 4 5 6 7 8 9 10 →