Perceptions on basilar artery occlusion management in China
versus other countries: Analysis of the after the BEST of
BASICS (ABBA) survey

J 2022

Perceptions on basilar artery occlusion management in China versus other countries: Analysis of the after the BEST of BASICS (ABBA) survey

HUO, Xiaochuan, Piers KLEIN, Drumm Brian RAYNALD, Yimin CHEN, Muhammad M QURESHI et. al.

Basic information

Original name

Perceptions on basilar artery occlusion management in China versus other countries: Analysis of the after the BEST of BASICS (ABBA) survey

Authors

HUO, Xiaochuan (guarantor), Piers KLEIN, Drumm Brian RAYNALD, Yimin CHEN, Muhammad M QURESHI, Wouter J SCHONEWILLE, Xinfeng LIU, Wei HU, Xunming JI, Chuanhui LI, Yuyou ZHU, Mohamad ABDALKADER, Daniel STRBIAN, Urs FISCHER, Volker PUETZ, Fana ALEMSEGED, Hiroshi YAMAGAMI, Simona SACCO, Gustavo SAPOSNIK, Patrik MICHEL, Espen Saxhaug KRISTOFFERSEN, Petra ŠEDOVÁ (203 Czech Republic, belonging to the institution), Robert MIKULÍK (203 Czech Republic, belonging to the institution), James E SIEGLER, Kyriakos LOBOTESIS, Dylan ROI, Jelle DEMEESTERE, Hongxin HAN, Guangxiong YUAN, Mai Duy TON, Hui-Sheng CHEN, Qingwu YANG, Zhongming QIU, Sheila O. MARTINS, Georgios TSIVGOULIS, Gotz THOMALLA, Simon NAGEL, Bruce C. V. CAMPBELL, Tudor G. JOVIN, Raul G. NOGUEIRA, Jean RAYMOND, Soma BANERJEE, Thanh N. NGUYEN and Zhongrong MIAO

Edition

Journal of Stroke and Cerebrovascular Diseases, AMSTERDAM, ELSEVIER, 2022, 1052-3057

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

Netherlands

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.500

RIV identification code

RIV/00216224:14110/22:00128744

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2022.106804

UT WoS

000933363500001

Keywords in English

Basilar artery occlusion; Mechanical thrombectomy; Endovascular therapy; Intravenous thrombolysis

Abstract

V originále

Introduction Uncertainty remains on the optimal management of basilar artery occlusion (BAO). Two large randomized controlled trials (RCTs) in 2019 and 2021 demonstrated neutral results with respect to the use of endovascular therapy (EVT) for BAO. This study aimed to understand regional variation in physicians' perceptions towards the treatment of BAO as stratified by physician respondents from China versus outside China, prior to the publication of studies demonstrating a benefit of EVT for BAO. Methods An international online survey was conducted of stroke neurologists and neurointerventionalists from January to March 2022. Survey questions evaluated physician opinions toward the use of EVT in BAO, as well as the clinical and imaging features underlying treatment decisions. Respondents were dichotomized as either from China or from other countries and differences between groups were analyzed. Results There were 1245 physician respondents across 73 countries of which 295 (23.7%) were from China. Compared to respondents from the rest of the world, respondents from China were more likely to be interventionalists (71.5% vs 35.0%; p < 0.0001). Overall, more than 95% of respondents believed that EVT was superior to medical therapy under certain circumstances. Chinese respondents were more likely to believe that further RCTs were necessary than respondents from other countries (93.6% vs 76.2%; p < 0.0001). Chinese respondents were more likely to use advanced imaging in later time windows and use a premorbid mRS threshold of ≤2 for BAO selection to EVT. Conclusion Most stroke physicians believe EVT is beneficial in selected patients with BAO. Clinical and imaging modality differences were observed in the selection criteria used for EVT. There was greater inclination to enroll all trial eligible patients in a BAO RCT by respondents from China as compared to other parts of the world.

Citovat

HUO, Xiaochuan, Piers KLEIN, Drumm Brian RAYNALD, Yimin CHEN, Muhammad M QURESHI, Wouter J SCHONEWILLE, Xinfeng LIU, Wei HU, Xunming JI, Chuanhui LI, Yuyou ZHU, Mohamad ABDALKADER, Daniel STRBIAN, Urs FISCHER, Volker PUETZ, Fana ALEMSEGED, Hiroshi YAMAGAMI, Simona SACCO, Gustavo SAPOSNIK, Patrik MICHEL, Espen Saxhaug KRISTOFFERSEN, Petra ŠEDOVÁ, Robert MIKULÍK, James E SIEGLER, Kyriakos LOBOTESIS, Dylan ROI, Jelle DEMEESTERE, Hongxin HAN, Guangxiong YUAN, Mai Duy TON, Hui-Sheng CHEN, Qingwu YANG, Zhongming QIU, Sheila O. MARTINS, Georgios TSIVGOULIS, Gotz THOMALLA, Simon NAGEL, Bruce C. V. CAMPBELL, Tudor G. JOVIN, Raul G. NOGUEIRA, Jean RAYMOND, Soma BANERJEE, Thanh N. NGUYEN and Zhongrong MIAO. Perceptions on basilar artery occlusion management in China versus other countries: Analysis of the after the BEST of BASICS (ABBA) survey. Journal of Stroke and Cerebrovascular Diseases. AMSTERDAM: ELSEVIER, 2022, vol. 31, No 11, p. 1-10. ISSN 1052-3057. Available from: https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2022.106804.

@article{2262337,
   author = {Huo, Xiaochuan and Klein, Piers and Raynald, Drumm Brian and Chen, Yimin and Qureshi, Muhammad M and Schonewille, Wouter J and Liu, Xinfeng and Hu, Wei and Ji, Xunming and Li, Chuanhui and Zhu, Yuyou and Abdalkader, Mohamad and Strbian, Daniel and Fischer, Urs and Puetz, Volker and Alemseged, Fana and Yamagami, Hiroshi and Sacco, Simona and Saposnik, Gustavo and Michel, Patrik and Kristoffersen, Espen Saxhaug and Šedová, Petra and Mikulík, Robert and Siegler, James E and Lobotesis, Kyriakos and Roi, Dylan and Demeestere, Jelle and Han, Hongxin and Yuan, Guangxiong and Ton, Mai Duy and Chen, HuiandSheng and Yang, Qingwu and Qiu, Zhongming and Martins, Sheila O. and Tsivgoulis, Georgios and Thomalla, Gotz and Nagel, Simon and Campbell, Bruce C. V. and Jovin, Tudor G. and Nogueira, Raul G. and Raymond, Jean and Banerjee, Soma and Nguyen, Thanh N. and Miao, Zhongrong},
   article_location = {AMSTERDAM},
   article_number = {11},
   doi = {http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2022.106804},
   keywords = {Basilar artery occlusion; Mechanical thrombectomy; Endovascular therapy; Intravenous thrombolysis},
   language = {eng},
   issn = {1052-3057},
   journal = {Journal of Stroke and Cerebrovascular Diseases},
   title = {Perceptions on basilar artery occlusion management in China versus other countries: Analysis of the after the BEST of BASICS (ABBA) survey},
   url = {https://www.sciencedirect.com/science/article/pii/S1052305722004980?via%3Dihub},
   volume = {31},
   year = {2022}
}

TY  - JOUR
ID  - 2262337
AU  - Huo, Xiaochuan - Klein, Piers - Raynald, Drumm Brian - Chen, Yimin - Qureshi, Muhammad M - Schonewille, Wouter J - Liu, Xinfeng - Hu, Wei - Ji, Xunming - Li, Chuanhui - Zhu, Yuyou - Abdalkader, Mohamad - Strbian, Daniel - Fischer, Urs - Puetz, Volker - Alemseged, Fana - Yamagami, Hiroshi - Sacco, Simona - Saposnik, Gustavo - Michel, Patrik - Kristoffersen, Espen Saxhaug - Šedová, Petra - Mikulík, Robert - Siegler, James E - Lobotesis, Kyriakos - Roi, Dylan - Demeestere, Jelle - Han, Hongxin - Yuan, Guangxiong - Ton, Mai Duy - Chen, Hui-Sheng - Yang, Qingwu - Qiu, Zhongming - Martins, Sheila O. - Tsivgoulis, Georgios - Thomalla, Gotz - Nagel, Simon - Campbell, Bruce C. V. - Jovin, Tudor G. - Nogueira, Raul G. - Raymond, Jean - Banerjee, Soma - Nguyen, Thanh N. - Miao, Zhongrong
PY  - 2022
TI  - Perceptions on basilar artery occlusion management in China versus other countries: Analysis of the after the BEST of BASICS (ABBA) survey
JF  - Journal of Stroke and Cerebrovascular Diseases
VL  - 31
IS  - 11
SP  - 1-10
EP  - 1-10
PB  - ELSEVIER
SN  - 10523057
KW  - Basilar artery occlusion
KW  - Mechanical thrombectomy
KW  - Endovascular therapy
KW  - Intravenous thrombolysis
UR  - https://www.sciencedirect.com/science/article/pii/S1052305722004980?via%3Dihub
N2  - Introduction Uncertainty remains on the optimal management of basilar artery occlusion (BAO). Two large randomized controlled trials (RCTs) in 2019 and 2021 demonstrated neutral results with respect to the use of endovascular therapy (EVT) for BAO. This study aimed to understand regional variation in physicians' perceptions towards the treatment of BAO as stratified by physician respondents from China versus outside China, prior to the publication of studies demonstrating a benefit of EVT for BAO. Methods An international online survey was conducted of stroke neurologists and neurointerventionalists from January to March 2022. Survey questions evaluated physician opinions toward the use of EVT in BAO, as well as the clinical and imaging features underlying treatment decisions. Respondents were dichotomized as either from China or from other countries and differences between groups were analyzed. Results There were 1245 physician respondents across 73 countries of which 295 (23.7%) were from China. Compared to respondents from the rest of the world, respondents from China were more likely to be interventionalists (71.5% vs 35.0%; p < 0.0001). Overall, more than 95% of respondents believed that EVT was superior to medical therapy under certain circumstances. Chinese respondents were more likely to believe that further RCTs were necessary than respondents from other countries (93.6% vs 76.2%; p < 0.0001). Chinese respondents were more likely to use advanced imaging in later time windows and use a premorbid mRS threshold of ≤2 for BAO selection to EVT. Conclusion Most stroke physicians believe EVT is beneficial in selected patients with BAO. Clinical and imaging modality differences were observed in the selection criteria used for EVT. There was greater inclination to enroll all trial eligible patients in a BAO RCT by respondents from China as compared to other parts of the world.
ER  -

HUO, Xiaochuan, Piers KLEIN, Drumm Brian RAYNALD, Yimin CHEN, Muhammad M QURESHI, Wouter J SCHONEWILLE, Xinfeng LIU, Wei HU, Xunming JI, Chuanhui LI, Yuyou ZHU, Mohamad ABDALKADER, Daniel STRBIAN, Urs FISCHER, Volker PUETZ, Fana ALEMSEGED, Hiroshi YAMAGAMI, Simona SACCO, Gustavo SAPOSNIK, Patrik MICHEL, Espen Saxhaug KRISTOFFERSEN, Petra ŠEDOVÁ, Robert MIKULÍK, James E SIEGLER, Kyriakos LOBOTESIS, Dylan ROI, Jelle DEMEESTERE, Hongxin HAN, Guangxiong YUAN, Mai Duy TON, Hui-Sheng CHEN, Qingwu YANG, Zhongming QIU, Sheila O. MARTINS, Georgios TSIVGOULIS, Gotz THOMALLA, Simon NAGEL, Bruce C. V. CAMPBELL, Tudor G. JOVIN, Raul G. NOGUEIRA, Jean RAYMOND, Soma BANERJEE, Thanh N. NGUYEN and Zhongrong MIAO. Perceptions on basilar artery occlusion management in China versus other countries: Analysis of the after the BEST of BASICS (ABBA) survey. \textit{Journal of Stroke and Cerebrovascular Diseases}. AMSTERDAM: ELSEVIER, 2022, vol.~31, No~11, p.~1-10. ISSN~1052-3057. Available from: https://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2022.106804.

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