"Notably, compared to evidence supporting endovascular clot retrieval in the anterior circulation, outcomes in randomised control trials in the posterior circulation have been more heterogeneous 1, with positive landmark trials including the ATTENTION and BAOCHE trials 3,4. There is no consensus regarding the advantage of direct aspiration thrombectomy vs stent retriever for basilar artery occlusions; both techniques are accepted, and the choice between them often depends on various patient-related factors 11."
"Notably, compared to evidence supporting endovascular clot retrieval in the anterior circulation, outcomes in randomised control trials in the posterior circulation have been more heterogeneous 1, with positive landmark trials including the ATTENTION and BAOCHE trials 3,4. There is no consensus regarding the advantage of direct aspiration thrombectomy vs stent retriever for basilar artery occlusions; both techniques are accepted, and the choice between them often depends on various patient-related factors 11."
"Acute basilar artery occlusion is a cause of infarction of the posterior circulation, including vital structures such as the brainstem and/or thalami. It is a true neurointerventional emergency, and if not treated early, it can result in rapid neurological deterioration and even death. Even with maximal treatment, mortality and morbidity are high."
"thromboembolism (e.g. cardioembolic)"
"thromboembolic (e.g. top of the basilar syndrome)"
"a high index of suspicion is needed in the correct clinical setting, as the diagnosis can easily be missed (often only present on 1 or 2 slices); additionally, it is well recognised that acute clots are of lower attenuation than chronic clots 5,6"
"Notably, compared to evidence supporting endovascular clot retrieval in the anterior circulation, outcomes in randomised control trials in the posterior circulation have been more heterogeneous 1, with positive landmark trials including the ATTENTION and BAOCHE trials 3,4. There is no consensus regarding the advantage of direct aspiration thrombectomy vs stent retriever for basilar artery occlusions; both techniques are accepted, and the choice between them often depends on various patient-related factors 11."
"Notably, compared to evidence supporting endovascular clot retrieval in the anterior circulation, outcomes in randomised control trials in the posterior circulation have been more heterogeneous 1, with positive landmark trials including the ATTENTION and BAOCHE trials 3,4. There is no consensus regarding the advantage of direct aspiration thrombectomy vs stent retriever for basilar artery occlusions; both techniques are accepted, and the choice between them often depends on various patient-related factors 11."