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primary topic: Basilar artery occlusion management: An international survey of middle versus high-income countries

Basilar artery occlusion management: An international survey of middle versus high-income countries
type: AcademicArticle
type: Article
abstract: 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.
date: 2024
volume: 30
issue: 5
is part of: Interventional Neuroradiology
status: published
author list: authors
type: EPrint
type: ArticleEPrint
is part of: repository
has document: Basilar artery occlusion management: An international survey of middle versus high-income countries (PDF)
has document: Basilar artery occlusion management: An international survey of middle versus high-income countries (Other)
subject: 610 Medizin

Basilar artery occlusion management: An international survey of middle versus high-income countries (PDF)
type: Document
has file: 10.1177_15910199221143190.pdf
has part: 10.1177_15910199221143190.pdf

Centauro
type: Organization

Interventional Neuroradiology
type: Collection
issn: 1591019923852011

Volker Puetz
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given name: Volker
family name: Puetz

Liping Liu
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PN Sylaja
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family name: Sylaja

Jianmin Liu
type: Person
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family name: Liu

Kubilay Aydin
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given name: Kubilay
family name: Aydin

Dapeng Sun
type: Person
given name: Dapeng
family name: Sun

Piers Klein
type: Person
given name: Piers
family name: Klein

Tilman Reiff
type: Person
given name: Tilman
family name: Reiff

Zhongming Qiu
type: Person
given name: Zhongming
family name: Qiu

Muhammad M. Qureshi
type: Person
given name: Muhammad M.
family name: Qureshi

Bertrand Lapergue
type: Person
given name: Bertrand
family name: Lapergue

Bruce C.V. Campbell
type: Person
given name: Bruce C.V.
family name: Campbell

Michele Romoli
type: Person
given name: Michele
family name: Romoli

Xiaochuan Huo
type: Person
given name: Xiaochuan
family name: Huo

Hiroshi Yamagami
type: Person
given name: Hiroshi
family name: Yamagami

Daniel Strbian
type: Person
given name: Daniel
family name: Strbian

Adriana B. Conforto
type: Person
given name: Adriana B.
family name: Conforto

Thanh N. Nguyen
type: Person
given name: Thanh N.
family name: Nguyen

Fana Alemseged
type: Person
given name: Fana
family name: Alemseged

Uta Hanning
type: Person
given name: Uta
family name: Hanning

Meabh Peacock
type: Person
given name: Meabh
family name: Peacock

James E. Siegler
type: Person
given name: James E.
family name: Siegler

Götz Thomalla
type: Person
given name: Götz
family name: Thomalla

Shadi Yaghi
type: Person
given name: Shadi
family name: Yaghi

Mai Duy Ton
type: Person
given name: Mai Duy
family name: Ton

Fengli Li
type: Person
given name: Fengli
family name: Li

Qingwu Yang
type: Person
given name: Qingwu
family name: Yang

Francesco Diana
type: Person
given name: Francesco
family name: Diana

Xinfeng Liu
type: Person
given name: Xinfeng
family name: Liu

Mohamad Abdalkader
type: Person
given name: Mohamad
family name: Abdalkader

Dylan Roi
type: Person
given name: Dylan
family name: Roi

Kyriakos Lobotesis
type: Person
given name: Kyriakos
family name: Lobotesis

Pengfei Yang
type: Person
given name: Pengfei
family name: Yang

Jin Soo Lee
type: Person
given name: Jin Soo
family name: Lee

Ana Herning
type: Person
given name: Ana
family name: Herning

Hesham E. Masoud
type: Person
given name: Hesham E.
family name: Masoud

Xunming Ji
type: Person
given name: Xunming
family name: Ji

Jelle Demeestere
type: Person
given name: Jelle
family name: Demeestere

Yuyou Zhu
type: Person
given name: Yuyou
family name: Zhu

Hui-Sheng Chen
type: Person
given name: Hui-Sheng
family name: Chen

Urs Fischer
type: Person
given name: Urs
family name: Fischer

Mohamed F. Doheim
type: Person
given name: Mohamed F.
family name: Doheim

João Pedro Marto
type: Person
given name: João Pedro
family name: Marto

Wouter J. Schonewille
type: Person
given name: Wouter J.
family name: Schonewille

Daniel P.O. Kaiser
type: Person
given name: Daniel P.O.
family name: Kaiser

Soma Banerjee
type: Person
given name: Soma
family name: Banerjee

Georgios Tsivgoulis
type: Person
given name: Georgios
family name: Tsivgoulis

Simon Nagel
type: Person
given name: Simon
family name: Nagel

Wei Hu
type: Person
given name: Wei
family name: Hu

Hongfei Sang
type: Person
given name: Hongfei
family name: Sang

Jean Raymond
type: Person
given name: Jean
family name: Raymond

Mahmoud H. Mohammaden
type: Person
given name: Mahmoud H.
family name: Mohammaden

Espen Saxhaug Kristoffersen
type: Person
given name: Espen Saxhaug
family name: Kristoffersen

Yimin Chen
type: Person
given name: Yimin
family name: Chen

Lukas Meyer
type: Person
given name: Lukas
family name: Meyer

Brian Drumm
type: Person
given name: Brian
family name: Drumm

Chuanhui Li
type: Person
given name: Chuanhui
family name: Li

Leticia C. Rebello
type: Person
given name: Leticia C.
family name: Rebello

Alice Ma
type: Person
given name: Alice
family name: Ma

Simona Sacco
type: Person
given name: Simona
family name: Sacco

Johannes Kaesmacher
type: Person
given name: Johannes
family name: Kaesmacher

Raul G. Nogueira
type: Person
given name: Raul G.
family name: Nogueira

Zhongrong Miao
type: Person
given name: Zhongrong
family name: Miao

Osama O. Zaidat
type: Person
given name: Osama O.
family name: Zaidat

Basilar artery occlusion management: An international survey of middle versus high-income countries (Other)
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primary topic: Basilar artery occlusion management: An international survey of middle versus high-income countries

610 Medizin
type: Concept
preferred label: 610 Medical sciences Medicine @en