TY  - JOUR
VL  - 30
PB  - Centauro
SN  - 1591-0199 (Druck-Ausg.); 2385-2011 (Online-Ausg.)
N1  - Dieser Beitrag ist aufgrund einer (DFG-geförderten) Allianz bzw. Nationallizenz frei zugänglich. *** This publication is freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
ID  - heidok36128
JF  - Interventional Neuroradiology
CY  - Bologna
IS  - 5
SP  - 702
Y1  - 2024///
A1  - Drumm, Brian
A1  - Herning, Ana
A1  - Klein, Piers
A1  - Raymond, Jean
A1  - Abdalkader, Mohamad
A1  - Huo, Xiaochuan
A1  - Chen, Yimin
A1  - Siegler, James E.
A1  - Peacock, Meabh
A1  - Schonewille, Wouter J.
A1  - Liu, Xinfeng
A1  - Hu, Wei
A1  - Ji, Xunming
A1  - Li, Chuanhui
A1  - Alemseged, Fana
A1  - Liu, Liping
A1  - Nagel, Simon
A1  - Strbian, Daniel
A1  - Rebello, Leticia C.
A1  - Yaghi, Shadi
A1  - Qureshi, Muhammad M.
A1  - Fischer, Urs
A1  - Tsivgoulis, Georgios
A1  - Kaesmacher, Johannes
A1  - Yamagami, Hiroshi
A1  - Puetz, Volker
A1  - Sylaja, PN
A1  - Marto, João Pedro
A1  - Sacco, Simona
A1  - Kristoffersen, Espen Saxhaug
A1  - Demeestere, Jelle
A1  - Conforto, Adriana B.
A1  - Meyer, Lukas
A1  - Kaiser, Daniel P.O.
A1  - Reiff, Tilman
A1  - Aydin, Kubilay
A1  - Romoli, Michele
A1  - Diana, Francesco
A1  - Lobotesis, Kyriakos
A1  - Roi, Dylan
A1  - Masoud, Hesham E.
A1  - Ma, Alice
A1  - Mohammaden, Mahmoud H.
A1  - Doheim, Mohamed F.
A1  - Zhu, Yuyou
A1  - Sang, Hongfei
A1  - Sun, Dapeng
A1  - Ton, Mai Duy
A1  - Li, Fengli
A1  - Lapergue, Bertrand
A1  - Hanning, Uta
A1  - Yang, Qingwu
A1  - Lee, Jin Soo
A1  - Thomalla, Götz
A1  - Yang, Pengfei
A1  - Liu, Jianmin
A1  - Campbell, Bruce C.V.
A1  - Chen, Hui-Sheng
A1  - Zaidat, Osama O.
A1  - Qiu, Zhongming
A1  - Nogueira, Raul G.
A1  - Miao, Zhongrong
A1  - Nguyen, Thanh N.
A1  - Banerjee, Soma
N2  - 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.
EP  - 711
UR  - https://doi.org/10.1177/15910199221143190
TI  - Basilar artery occlusion management: An international survey of middle versus high-income countries
AV  - public
ER  -