eprintid: 36128
rev_number: 11
eprint_status: archive
userid: 5878
dir: disk0/00/03/61/28
datestamp: 2025-02-24 10:44:25
lastmod: 2025-04-22 14:02:14
status_changed: 2025-02-24 10:44:25
type: article
metadata_visibility: show
creators_name: Drumm, Brian
creators_name: Herning, Ana
creators_name: Klein, Piers
creators_name: Raymond, Jean
creators_name: Abdalkader, Mohamad
creators_name: Huo, Xiaochuan
creators_name: Chen, Yimin
creators_name: Siegler, James E.
creators_name: Peacock, Meabh
creators_name: Schonewille, Wouter J.
creators_name: Liu, Xinfeng
creators_name: Hu, Wei
creators_name: Ji, Xunming
creators_name: Li, Chuanhui
creators_name: Alemseged, Fana
creators_name: Liu, Liping
creators_name: Nagel, Simon
creators_name: Strbian, Daniel
creators_name: Rebello, Leticia C.
creators_name: Yaghi, Shadi
creators_name: Qureshi, Muhammad M.
creators_name: Fischer, Urs
creators_name: Tsivgoulis, Georgios
creators_name: Kaesmacher, Johannes
creators_name: Yamagami, Hiroshi
creators_name: Puetz, Volker
creators_name: Sylaja, PN
creators_name: Marto, João Pedro
creators_name: Sacco, Simona
creators_name: Kristoffersen, Espen Saxhaug
creators_name: Demeestere, Jelle
creators_name: Conforto, Adriana B.
creators_name: Meyer, Lukas
creators_name: Kaiser, Daniel P.O.
creators_name: Reiff, Tilman
creators_name: Aydin, Kubilay
creators_name: Romoli, Michele
creators_name: Diana, Francesco
creators_name: Lobotesis, Kyriakos
creators_name: Roi, Dylan
creators_name: Masoud, Hesham E.
creators_name: Ma, Alice
creators_name: Mohammaden, Mahmoud H.
creators_name: Doheim, Mohamed F.
creators_name: Zhu, Yuyou
creators_name: Sang, Hongfei
creators_name: Sun, Dapeng
creators_name: Ton, Mai Duy
creators_name: Li, Fengli
creators_name: Lapergue, Bertrand
creators_name: Hanning, Uta
creators_name: Yang, Qingwu
creators_name: Lee, Jin Soo
creators_name: Thomalla, Götz
creators_name: Yang, Pengfei
creators_name: Liu, Jianmin
creators_name: Campbell, Bruce C.V.
creators_name: Chen, Hui-Sheng
creators_name: Zaidat, Osama O.
creators_name: Qiu, Zhongming
creators_name: Nogueira, Raul G.
creators_name: Miao, Zhongrong
creators_name: Nguyen, Thanh N.
creators_name: Banerjee, Soma
title: Basilar artery occlusion management: An international survey of middle versus high-income countries
ispublished: pub
subjects: ddc-610
divisions: i-911100
note: 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.
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
date_type: published
publisher: Centauro
id_scheme: DOI
id_number: 10.11588/heidok.00036128
official_url: https://doi.org/10.1177/15910199221143190
ppn_swb: 1923420380
own_urn: urn:nbn:de:bsz:16-heidok-361282
language: eng
bibsort: DRUMMBRIANBASILARART20241013
full_text_status: public
publication: Interventional Neuroradiology
volume: 30
number: 5
place_of_pub: Bologna
pagerange: 702-711
pages: 10
issn: 1591-0199 (Druck-Ausg.); 2385-2011 (Online-Ausg.)
edition: Zweitveröffentlichung
citation:   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.)     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/36128/1/10.1177_15910199221143190.pdf