Efficacy and safety of endovascular mechanical thrombectomy for acute basilar artery occlusions
10.3760/cma.j.issn.1671-8925.2018.02.010
- VernacularTitle:血管内机械取栓治疗急性基底动脉闭塞的有效性和安全性研究
- Author:
Zongjie SHI
1
;
Sujie ZHENG
;
Sheng ZHANG
;
Tianming SHI
;
Jie PAN
;
Yu GENG
Author Information
1. 浙江省人民医院(杭州医学院附属人民医院)神经内科
- Keywords:
Ischemic stroke;
Basilar artery occlusion;
Mechanical thrombectomy
- From:
Chinese Journal of Neuromedicine
2018;17(2):161-164
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of endovascular thrombectomy for acute ischemic stroke due to basilar artery occlusion,and analyze the correlation between baseline clinical features and prognoses.Methods The clinical data of 27 patients with acute stroke due to basilar artery occlusion,admitted to and underwent emergency endovascular thrombectomy in our hospital from February 2016 to March 2017,were analyzed retrospectively.The re-canalization rate and complications were determined and the clinical outcomes were assessed.The correlation between clinical features and prognoses were analyzed.Results Successful re-canalization was achieved in 24 out of 27 patients (88.9 ％),and the mean time from onset to re-canalization was (418.92±223.96) min.Symptomatic intracerebral hemorrhage (SICH) was observed in 2 patients (7.4 ％) and mortality in the first 3 months was 29.6％ (8/27).At 3-month follow up,14 patients (51.8 ％) showed good prognosis (modified Rankin scale [mRS] scores≤＜2) and 13 had poor prognosis.Baseline NIHSS scores (23[12.5,33.8] vs.35[23,39]) and posterior circulation-Alberta Stroke Program Early CT Scale scores (9 [8,10] vs.7 [4,9]) between patients with good prognosis and poor prognosis were significantly different (Z=-2.043,P=0.041;Z=-2.387,P=0.017).Conclusions Endovascular thrombectomy can contribute to a high re-canalization rate and safety.Baseline clinical severity and collateral circulation compensation are associated with clinical prognosis.
