Intra-arterial thrombolytic therapy for acute basilar occlusion: pro.

Abstract:

:Acute thromboembolic occlusion of the basilar artery accounts for 6% to 10% of large-vessel stroke in humans. Because of the brain region supplied by this artery, the case fatality rate is the highest for all ischemic stroke subtypes, ranging from 40% to 86%. Patients who undergo successful recanalization of the basilar artery by intra-arterial thrombolysis have lower mortality of approximately 39%. Considering all published series, a consistent survival benefit is predicted by revascularization (mortality 87% nonrecanalized compared with 39% recanalized; P<0.001). Although no large randomized studies of revascularization for acute basilar artery occlusion have been performed, it is unlikely that endovascular efforts are inferior to the natural history of the disease, and it is likely that patients benefit from this aggressive approach.

journal_name

Stroke

journal_title

Stroke

authors

Smith WS

doi

10.1161/01.STR.0000247897.33267.42

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

701-3

issue

2 Suppl

eissn

0039-2499

issn

1524-4628

pii

38/2/701

journal_volume

38

pub_type

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