Safety and Efficacy of Direct Angioplasty in Acute Basilar Artery Occlusion Due to Atherosclerosis

• DOI: 10.3389/fneur.2021.651653
• Publication Date: 2021-07-19T04:47:15Z
• Authors: Gaoting Ma; Xuan Sun; Xu Tong; Baixue Jia; Xiaochuan Huo; Gang Luo; Bo Wang; Yiming Deng; Feng Gao; Ligang Song; Ning Ma; Zhongrong Miao; Dapeng Mo
• Keywords: ICAD

Background and Purpose: Endovascular treatment (EVT) is one of the promising options in patients with intracranial atherosclerotic disease (ICAD)-related basilar artery occlusion (BAO). In this study, we compared safety efficacy direct angioplasty (DA) stent-retriever thrombectomy (SRT) or without rescue ICAD-related BAO. Methods: We retrospectively evaluated 187 who underwent EVT for BAO from January 2012 to July 2018. identified due Patients accepted SRT were classified into group. treated DA stent placement Clinical laboratory findings outcomes between groups. Results: A total 108 enrolled, among them 77 31 DA; 61 (79.2%) group placement. Compared group, those experienced a significantly shorter procedure time [60 min (60–120 min) vs. 120 min); p = 0.038] lower number device passes [2 (1–2 passes) 3 (2–4 passes); < 0.001]. No significant differences balloon (35.5 22.1%; 0.150), emergent (64.5 57.1%; 0.481), successful recanalization (93.5 85.7%; 0.340), embolization distal new territory (3.2 9.1%, 0.314), reocclusion (22.6 9.1%; 0.109) groups found. Additionally, no symptomatic hemorrhage incidence [adjusted odds ratio (OR), 0.74; 95% CI, 0.06–9.44; 0.815], functional independence (adjusted OR, 1.44; 0.50–4.16; 0.497), mortality rate 0.36; 0.06–2.04; 0.247) noted Conclusions: certain BAO, may shorten reduce required SRT. was found be similar as