Mechanical Thrombectomy Using Solitaire in Acute Ischemic Stroke Patients with Vertebrobasilar Occlusion: A Prospective Observational Study.

摘要: Background The safety and effectiveness of endovascular mechanical thrombectomy in patients with acute vertebrobasilar occlusion (VBO) are debatable undergoing evaluation. We report the clinical outcome prognostic factors a prospective cohort ischemic stroke VBO. Methods In total, 48 consecutive VBO underwent using Solitaire. analyzed imaging data searched for predictors good (modified Rankin scale score: 0–3). Results median prethrombectomy National Institutes Health Stroke Scale score was 22.0. duration from symptom onset to recanalization 493.5 minutes. A total 35.4% received rescue therapy. Recanalization Thrombolysis Cerebral Infarction: 2b–3) successful all patients. Clinically relevant intracranial hemorrhage observed 2 After 90 days, outcomes were obtained 27 baseline score, posterior circulation Acute Prognosis Early CT Score (pc-ASPECTS), anesthesia type, communicating artery (PComA) patency significantly associated at days univariate analysis. Multivariate logistic regression indicated that high pc-ASPECTS admission PComA independent days. Conclusions Up 60.4% reached after treatment therapy, suggesting Solitaire is safe effective therapy readily required employed. High better these