Current Opinions on Optimal Management of Basilar Artery
Occlusion: After the BEST of BASICS Survey

J 2022

Current Opinions on Optimal Management of Basilar Artery Occlusion: After the BEST of BASICS Survey

DRUMM, Brian, Soma Banerjee BANERJEE, Muhammad M QURESHI, Wouter J SCHONEWILLE, Piers KLEIN et. al.

Základní údaje

Originální název

Current Opinions on Optimal Management of Basilar Artery Occlusion: After the BEST of BASICS Survey

Autoři

DRUMM, Brian, Soma Banerjee BANERJEE, Muhammad M QURESHI, Wouter J SCHONEWILLE, Piers KLEIN, Xiaochuan Huo HUO, Yimin CHEN, Daniel STRBIAN, Urs FISCHE, Volker PUETZ, Wei HU, Xunming JI, Chuanhui LI, Fana ALEMSEGED, Hiroshi YAMAGAMI, Simona SACCO, Gustavo SAPOSNIK, Patrik MICHEL, Espen SAXHAUG KRISTOFFERSEN, Petra ŠEDOVÁ (203 Česká republika, domácí), Robert MIKULÍK (203 Česká republika, domácí), James E SIEGLER, Thomas R MEINEL, Diana Aguiar DE SOUSA, Kyriakos LOBOTESIS, Dylan ROI, Jelle DEMEESTERE, Kaiz S ASIF, Sheila O Martins MD PHD, Mohamad ABDALKADER, Mayank GOYAL, Thang Huy NGUYEN, Mai Duy TON, Yuyou ZHU, Xinfeng LIU, Zhongming QIU, Zhongrong MIAO, Jildaz CAROFF, Michele ROMOLI, Francesco DIANA, Götz THOMALLA, Simon NAGEL, Else C SANDSET, Bruce CAMPBELL CV, Tudor G Jovin JOVIN, Raul G NOGUEIRA, Jean RAYMOND a Thanh N NGUYEN (garant)

Vydání

Stroke: Vascular and Interventional Neurology, United States, Wiley, 2022, 2694-5746

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30210 Clinical neurology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Kód RIV

RIV/00216224:14110/22:00128866

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1161/SVIN.122.000538

UT WoS

001157400400017

Klíčová slova anglicky

Basilar Artery Occlusion

Štítky

rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 27. 6. 2024 11:04, Mgr. Michal Petr

Anotace

V originále

Background The best management of basilar artery occlusion (BAO) remains uncertain. The BASICS (Basilar Artery International Cooperation Study) and the BEST (Basilar Artery Occlusion Endovascular Intervention Versus Standard Medical Treatment) trials reported neutral results. We sought to understand physicians’ approaches to BAOs and whether further BAO randomized controlled trials were warranted. Methods We conducted an online international survey from January to March 2022 to stroke neurologists and neurointerventionalists. Survey questions were designed to examine clinical and imaging parameters under which clinicians would offer (or rescind) a patient with BAO to endovascular therapy (EVT) or best medical management versus enrollment into a randomized clinical trial. Results Of >3002 invited participants, 1245 responded (41.4% response rate) from 73 countries, including 54.7% stroke neurologists and 43.6% neurointerventionalists. More than 95% of respondents would offer EVT to patients with BAO, albeit in various clinical circumstances. There were 70.0% of respondents who indicated that the BASICS and BEST trials did not change their practice. Only 22.1% of respondents would perform EVT according to anterior circulation occlusion criteria. The selection of patients for BAO EVT by clinical severity, timing, and imaging modality differed according to geography, specialty, and country income level. Over 80% of respondents agreed that further randomized clinical trials for BAO were warranted. Moreover, 45.6% of respondents indicated they would find it acceptable to enroll all trial‐eligible patients into the medical arm of a BAO trial, whereas 26.3% would not enroll. Conclusion Most stroke physicians continue to believe in the efficacy of EVT in selected patients with BAO in spite of BEST and BASICS. There is no consensus on which selection criteria to use, and few clinicians would use anterior circulation occlusion criteria for BAOs. Further randomized clinical trials for BAO are warranted.

Citovat

DRUMM, Brian, Soma Banerjee BANERJEE, Muhammad M QURESHI, Wouter J SCHONEWILLE, Piers KLEIN, Xiaochuan Huo HUO, Yimin CHEN, Daniel STRBIAN, Urs FISCHE, Volker PUETZ, Wei HU, Xunming JI, Chuanhui LI, Fana ALEMSEGED, Hiroshi YAMAGAMI, Simona SACCO, Gustavo SAPOSNIK, Patrik MICHEL, Espen SAXHAUG KRISTOFFERSEN, Petra ŠEDOVÁ, Robert MIKULÍK, James E SIEGLER, Thomas R MEINEL, Diana Aguiar DE SOUSA, Kyriakos LOBOTESIS, Dylan ROI, Jelle DEMEESTERE, Kaiz S ASIF, Sheila O Martins MD PHD, Mohamad ABDALKADER, Mayank GOYAL, Thang Huy NGUYEN, Mai Duy TON, Yuyou ZHU, Xinfeng LIU, Zhongming QIU, Zhongrong MIAO, Jildaz CAROFF, Michele ROMOLI, Francesco DIANA, Götz THOMALLA, Simon NAGEL, Else C SANDSET, Bruce CAMPBELL CV, Tudor G Jovin JOVIN, Raul G NOGUEIRA, Jean RAYMOND a Thanh N NGUYEN. Current Opinions on Optimal Management of Basilar Artery Occlusion: After the BEST of BASICS Survey. Stroke: Vascular and Interventional Neurology. United States: Wiley, 2022, roč. 2, č. 5, s. 1-14. ISSN 2694-5746. Dostupné z: https://dx.doi.org/10.1161/SVIN.122.000538.

@article{2267009,
   author = {Drumm, Brian and Banerjee, Soma Banerjee and M Qureshi, Muhammad and Schonewille, Wouter J and Klein, Piers and Huo, Xiaochuan Huo and Chen, Yimin and Strbian, Daniel and Fische, Urs and Puetz, Volker and Hu, Wei and Ji, Xunming and Li, Chuanhui and Alemseged, Fana and Yamagami, Hiroshi and Sacco, Simona and Saposnik, Gustavo and Michel, Patrik and Saxhaug Kristoffersen, Espen and Šedová, Petra and Mikulík, Robert and Siegler, James E and Meinel, Thomas R and de Sousa, Diana Aguiar and Lobotesis, Kyriakos and Roi, Dylan and Demeestere, Jelle and Asif, Kaiz S and PhD, Sheila O Martins MD and Abdalkader, Mohamad and Goyal, Mayank and Nguyen, Thang Huy and Ton, Mai Duy and Zhu, Yuyou and Liu, Xinfeng and Qiu, Zhongming and Miao, Zhongrong and Caroff, Jildaz and Romoli, Michele and Diana, Francesco and Thomalla, Götz and Nagel, Simon and Sandset, Else C and Campbell CV, Bruce and Jovin, Tudor G Jovin and Nogueira, Raul G and Raymond, Jean and Nguyen, Thanh N},
   article_location = {United States},
   article_number = {5},
   doi = {http://dx.doi.org/10.1161/SVIN.122.000538},
   keywords = {Basilar Artery Occlusion},
   language = {eng},
   issn = {2694-5746},
   journal = {Stroke: Vascular and Interventional Neurology},
   title = {Current Opinions on Optimal Management of Basilar Artery Occlusion: After the BEST of BASICS Survey},
   url = {https://www.ahajournals.org/doi/10.1161/SVIN.122.000538},
   volume = {2},
   year = {2022}
}

TY  - JOUR
ID  - 2267009
AU  - Drumm, Brian - Banerjee, Soma Banerjee - M Qureshi, Muhammad - Schonewille, Wouter J - Klein, Piers - Huo, Xiaochuan Huo - Chen, Yimin - Strbian, Daniel - Fische, Urs - Puetz, Volker - Hu, Wei - Ji, Xunming - Li, Chuanhui - Alemseged, Fana - Yamagami, Hiroshi - Sacco, Simona - Saposnik, Gustavo - Michel, Patrik - Saxhaug Kristoffersen, Espen - Šedová, Petra - Mikulík, Robert - Siegler, James E - Meinel, Thomas R - de Sousa, Diana Aguiar - Lobotesis, Kyriakos - Roi, Dylan - Demeestere, Jelle - Asif, Kaiz S - PhD, Sheila O Martins MD - Abdalkader, Mohamad - Goyal, Mayank - Nguyen, Thang Huy - Ton, Mai Duy - Zhu, Yuyou - Liu, Xinfeng - Qiu, Zhongming - Miao, Zhongrong - Caroff, Jildaz - Romoli, Michele - Diana, Francesco - Thomalla, Götz - Nagel, Simon - Sandset, Else C - Campbell CV, Bruce - Jovin, Tudor G Jovin - Nogueira, Raul G - Raymond, Jean - Nguyen, Thanh N
PY  - 2022
TI  - Current Opinions on Optimal Management of Basilar Artery Occlusion: After the BEST of BASICS Survey
JF  - Stroke: Vascular and Interventional Neurology
VL  - 2
IS  - 5
SP  - 1-14
EP  - 1-14
PB  - Wiley
SN  - 26945746
KW  - Basilar Artery Occlusion
UR  - https://www.ahajournals.org/doi/10.1161/SVIN.122.000538
N2  - Background The best management of basilar artery occlusion (BAO) remains uncertain. The BASICS (Basilar Artery International Cooperation Study) and the BEST (Basilar Artery Occlusion Endovascular Intervention Versus Standard Medical Treatment) trials reported neutral results. We sought to understand physicians’ approaches to BAOs and whether further BAO randomized controlled trials were warranted. Methods We conducted an online international survey from January to March 2022 to stroke neurologists and neurointerventionalists. Survey questions were designed to examine clinical and imaging parameters under which clinicians would offer (or rescind) a patient with BAO to endovascular therapy (EVT) or best medical management versus enrollment into a randomized clinical trial. Results Of >3002 invited participants, 1245 responded (41.4% response rate) from 73 countries, including 54.7% stroke neurologists and 43.6% neurointerventionalists. More than 95% of respondents would offer EVT to patients with BAO, albeit in various clinical circumstances. There were 70.0% of respondents who indicated that the BASICS and BEST trials did not change their practice. Only 22.1% of respondents would perform EVT according to anterior circulation occlusion criteria. The selection of patients for BAO EVT by clinical severity, timing, and imaging modality differed according to geography, specialty, and country income level. Over 80% of respondents agreed that further randomized clinical trials for BAO were warranted. Moreover, 45.6% of respondents indicated they would find it acceptable to enroll all trial‐eligible patients into the medical arm of a BAO trial, whereas 26.3% would not enroll. Conclusion Most stroke physicians continue to believe in the efficacy of EVT in selected patients with BAO in spite of BEST and BASICS. There is no consensus on which selection criteria to use, and few clinicians would use anterior circulation occlusion criteria for BAOs. Further randomized clinical trials for BAO are warranted.
ER  -

DRUMM, Brian, Soma Banerjee BANERJEE, Muhammad M QURESHI, Wouter J SCHONEWILLE, Piers KLEIN, Xiaochuan Huo HUO, Yimin CHEN, Daniel STRBIAN, Urs FISCHE, Volker PUETZ, Wei HU, Xunming JI, Chuanhui LI, Fana ALEMSEGED, Hiroshi YAMAGAMI, Simona SACCO, Gustavo SAPOSNIK, Patrik MICHEL, Espen SAXHAUG KRISTOFFERSEN, Petra ŠEDOVÁ, Robert MIKULÍK, James E SIEGLER, Thomas R MEINEL, Diana Aguiar DE SOUSA, Kyriakos LOBOTESIS, Dylan ROI, Jelle DEMEESTERE, Kaiz S ASIF, Sheila O Martins MD PHD, Mohamad ABDALKADER, Mayank GOYAL, Thang Huy NGUYEN, Mai Duy TON, Yuyou ZHU, Xinfeng LIU, Zhongming QIU, Zhongrong MIAO, Jildaz CAROFF, Michele ROMOLI, Francesco DIANA, Götz THOMALLA, Simon NAGEL, Else C SANDSET, Bruce CAMPBELL CV, Tudor G Jovin JOVIN, Raul G NOGUEIRA, Jean RAYMOND a Thanh N NGUYEN. Current Opinions on Optimal Management of Basilar Artery Occlusion: After the BEST of BASICS Survey. \textit{Stroke: Vascular and Interventional Neurology}. United States: Wiley, 2022, roč.~2, č.~5, s.~1-14. ISSN~2694-5746. Dostupné z: https://dx.doi.org/10.1161/SVIN.122.000538.

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