Comparison of endovascular treatment versus conservative medical treatment in patients with acute basilar artery occlusion.
Vasc Endovascular Surg
; 47(6): 429-37, 2013 Aug.
Article
em En
| MEDLINE
| ID: mdl-23690536
ABSTRACT
INTRODUCTION:
Basilar artery occlusion (BAO) causes mortality up to 90%.METHODS:
A total of 99 patients with BAO received either endovascular (endovascular mechanical recanalization and/or intra-arterial with optional intravenous thrombolysis [IVT] as bridging concept) or conservative medical treatment (IVT and/or medical oral therapy). Outcome parameters were measured in accordance with the thrombolysis in cerebral infarction (TICI), National Institutes of Health Stroke Scale (NIHSS), and modified Rankin Scale (mRS) scores.RESULTS:
In all, 78% underwent endovascular and 22% conservative medical treatment. The NIHSS at admission was 20 in both the groups. Postprocedurally, 36% (95% confidence interval 26%-48%) of the endovascular group and 9% (21%-64%) of the conservative group reached TICI 3 (P = .017). In all, 30% of the endovascular group and 9% of the conservative group were documented with TICI 2b (P = .057). At 90 days follow-up, 45% (31%-60%) of the endovascular-treated patientsand no patient (0%-25%) of the conservative-treated group reached mRS ≤2 (P = .012).CONCLUSION:
Endovascular treatment of BAO provides a better chance to survive this severe condition with good clinical outcome.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Arteriopatias Oclusivas
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Insuficiência Vertebrobasilar
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Fármacos Cardiovasculares
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Terapia Trombolítica
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Procedimentos Endovasculares
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Vasc Endovascular Surg
Ano de publicação:
2013
Tipo de documento:
Article