The efficacy of mechanical thrombectomy for severe basilar-artery occlusion

DOI
  • Umeda Kosuke
    Emergency and Critical Care Medical Center, Yamanashi Prefectural Central Hospital
  • Matsumoto Gaku
    Emergency and Critical Care Medical Center, Yamanashi Prefectural Central Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
  • Miyazaki Yoshibumi
    Emergency and Critical Care Medical Center, Yamanashi Prefectural Central Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
  • Iwase Fumiaki
    Emergency and Critical Care Medical Center, Yamanashi Prefectural Central Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
  • Hagiwara Kazuki
    Emergency and Critical Care Medical Center, Yamanashi Prefectural Central Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
  • Ito Ayumi
    Emergency and Critical Care Medical Center, Yamanashi Prefectural Central Hospital
  • Matsumoto Takashi
    Emergency and Critical Care Medical Center, Yamanashi Prefectural Central Hospital
  • Mitsui Daichi
    Emergency and Critical Care Medical Center, Yamanashi Prefectural Central Hospital

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Other Title
  • 重症脳底動脈閉塞に対して機械的血栓回収療法は有効か?

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Abstract

<p>The efficacy of mechanical thrombectomy (MT) for severe ischemic stroke of posterior circulation is unclear despite the established effectiveness for anterior circulation. Therefore we analyzed the efficacy of MT for severe basilar-artery occlusion. We defined “severe” basilar-artery occlusion as National Institutes of Health Stroke Scale (NIHSS) ≥22 and Glasgow Coma Scale (GCS) ≤8. Fourteen patients were enrolled. Median age, NIHSS and GCS were 72, 38 and 4, respectively. Modified Rankin Scele≤3 occurred 3 of 14 patients. Mortality rate was 57%. Though the efficacy was not sufficient, MT seems to be important when we take the severity into consideration.</p>

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