title: Basilar artery occlusion management: An international survey of middle versus high-income countries creator: Drumm, Brian creator: Herning, Ana creator: Klein, Piers creator: Raymond, Jean creator: Abdalkader, Mohamad creator: Huo, Xiaochuan creator: Chen, Yimin creator: Siegler, James E. creator: Peacock, Meabh creator: Schonewille, Wouter J. creator: Liu, Xinfeng creator: Hu, Wei creator: Ji, Xunming creator: Li, Chuanhui creator: Alemseged, Fana creator: Liu, Liping creator: Nagel, Simon creator: Strbian, Daniel creator: Rebello, Leticia C. creator: Yaghi, Shadi creator: Qureshi, Muhammad M. creator: Fischer, Urs creator: Tsivgoulis, Georgios creator: Kaesmacher, Johannes creator: Yamagami, Hiroshi creator: Puetz, Volker creator: Sylaja, PN creator: Marto, João Pedro creator: Sacco, Simona creator: Kristoffersen, Espen Saxhaug creator: Demeestere, Jelle creator: Conforto, Adriana B. creator: Meyer, Lukas creator: Kaiser, Daniel P.O. creator: Reiff, Tilman creator: Aydin, Kubilay creator: Romoli, Michele creator: Diana, Francesco creator: Lobotesis, Kyriakos creator: Roi, Dylan creator: Masoud, Hesham E. creator: Ma, Alice creator: Mohammaden, Mahmoud H. creator: Doheim, Mohamed F. creator: Zhu, Yuyou creator: Sang, Hongfei creator: Sun, Dapeng creator: Ton, Mai Duy creator: Li, Fengli creator: Lapergue, Bertrand creator: Hanning, Uta creator: Yang, Qingwu creator: Lee, Jin Soo creator: Thomalla, Götz creator: Yang, Pengfei creator: Liu, Jianmin creator: Campbell, Bruce C.V. creator: Chen, Hui-Sheng creator: Zaidat, Osama O. creator: Qiu, Zhongming creator: Nogueira, Raul G. creator: Miao, Zhongrong creator: Nguyen, Thanh N. creator: Banerjee, Soma subject: ddc-610 subject: 610 Medical sciences Medicine description: Background and Purpose Two early basilar artery occlusion (BAO) randomized controlled trials (RCTs) did not establish the superiority of endovascular thrombectomy (EVT) over medical management. Yet many providers continued to recommend EVT. The goal of the present article is to compare physicians’ diagnostic and management strategies of BAO among middle-income and high-income countries (MICs and HICs, respectively). Methods We conducted an international survey from January to March 2022 regarding management strategies in acute BAO, to examine clinical and imaging parameters influencing clinician management of patients with BAO. We compared responses between physicians from HIC and MIC. Results Among the 1245 respondents from 73 countries, 799 (64.2%) were from HIC, with the remaining 393 (31.6%) from MIC. Most respondents perceived that EVT was superior to medical management for acute BAO, but more so in respondents from HIC (98.0% vs. 94.2%, p < 0.01). MIC respondents were more likely to believe further RCTs were warranted (91.6% vs. 74.0%, p < 0.01) and were more likely to find it acceptable to enroll any patient who met a trial’s criteria in the standard medical treatment arm (58.8% vs. 38.5%, p < 0.01).Conclusions Conclusions In an area where clinical equipoise was called into question despite the lack of RCT evidence, we found that respondents from MIC were more likely to express willingness to enroll patients with BAO in an RCT than their HIC counterparts. publisher: Centauro date: 2024 type: Article type: info:eu-repo/semantics/article type: NonPeerReviewed format: application/pdf identifier: https://archiv.ub.uni-heidelberg.de/volltextserver/36128/1/10.1177_15910199221143190.pdf identifier: DOI:10.11588/heidok.00036128 identifier: https://doi.org/10.1177/15910199221143190 identifier: urn:nbn:de:bsz:16-heidok-361282 identifier: Drumm, Brian ; Herning, Ana ; Klein, Piers ; Raymond, Jean ; Abdalkader, Mohamad ; Huo, Xiaochuan ; Chen, Yimin ; Siegler, James E. ; Peacock, Meabh ; Schonewille, Wouter J. ; Liu, Xinfeng ; Hu, Wei ; Ji, Xunming ; Li, Chuanhui ; Alemseged, Fana ; Liu, Liping ; Nagel, Simon ; Strbian, Daniel ; Rebello, Leticia C. ; Yaghi, Shadi ; Qureshi, Muhammad M. ; Fischer, Urs ; Tsivgoulis, Georgios ; Kaesmacher, Johannes ; Yamagami, Hiroshi ; Puetz, Volker ; Sylaja, PN ; Marto, João Pedro ; Sacco, Simona ; Kristoffersen, Espen Saxhaug ; Demeestere, Jelle ; Conforto, Adriana B. ; Meyer, Lukas ; Kaiser, Daniel P.O. ; Reiff, Tilman ; Aydin, Kubilay ; Romoli, Michele ; Diana, Francesco ; Lobotesis, Kyriakos ; Roi, Dylan ; Masoud, Hesham E. ; Ma, Alice ; Mohammaden, Mahmoud H. ; Doheim, Mohamed F. ; Zhu, Yuyou ; Sang, Hongfei ; Sun, Dapeng ; Ton, Mai Duy ; Li, Fengli ; Lapergue, Bertrand ; Hanning, Uta ; Yang, Qingwu ; Lee, Jin Soo ; Thomalla, Götz ; Yang, Pengfei ; Liu, Jianmin ; Campbell, Bruce C.V. ; Chen, Hui-Sheng ; Zaidat, Osama O. ; Qiu, Zhongming ; Nogueira, Raul G. ; Miao, Zhongrong ; Nguyen, Thanh N. ; Banerjee, Soma (2024) Basilar artery occlusion management: An international survey of middle versus high-income countries. Interventional Neuroradiology, 30 (5). pp. 702-711. ISSN 1591-0199 (Druck-Ausg.); 2385-2011 (Online-Ausg.) relation: https://archiv.ub.uni-heidelberg.de/volltextserver/36128/ rights: info:eu-repo/semantics/openAccess rights: http://archiv.ub.uni-heidelberg.de/volltextserver/help/license_urhg.html language: eng