Mechanical thrombectomy for basilar artery occlusion: efficacy, outcomes, and futile recanalization in comparison with the anterior circulation.

In successfully recanalized BAO patients (TICI ≥2b, n=149), excellent recanalization (TICI 3, n=102) approached significance to increase the odds of a favorable outcome (mRS 0–2) at day 90 (aOR=2.177, 95% CI 0.923 to 5.135) and decreased the odds of all-cause mortality at day 90 (aOR=0.408, 95% CI 0.177 to 0.937).

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Prestroke dependence, lower posterior circulation Alberta Stroke Program Early CT Score (pcASPECTS), longer time from groin puncture to recanalization and administration of additional intra-arterial thrombolytic agents showed a trend towards association with FR.

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Safety Safety endpoints, including sICH, systemic bleeding, craniectomy, and complication rates, were less frequent in patients with BAO than in patients with ACLVO ( table 2 ), but the difference did not reach statistical significance.

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