Effect of the anastomosis between the posterior inferior cerebellar artery and the superior cerebellar artery on outcomes of acute basilar artery occlusion after endovascular treatment.

Autor:	Huang J; Department of Neurology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China., Kong W; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China., Yang J; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China., Wang M; Central Laboratory, Army Medical University Xinqiao Hospital, Chongqing, China., Huang X; Department of Neurology, The First Affiliated Hospital of Wannan Medical College, Wuhu, China., Wang Y; Department of Neurology, Chengdu Fifth People's Hospital, Chengdu, China., Luo J; Department of Neurology, 404 Hospital, Mianyang, Sichuan, China., Wu Y; Department of Neurology, People's Hospital of Chongzhou, Chongzhou, China., Zeng G; Department of Neurology, Ganzhou People's Hospital, Ganzhou, Jiangxi, China., Wan Y; Department of Neurology, Yangluo District of Hubei Zhongshan Hospital, Wuhan, China., Song J; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China., Li L; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China., Hu J; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China., Liu S; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China., Luo W; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China., Tian Y; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China., Sang H; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China., Qiu Z; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China., Li F; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China., Schonewille W; Department of Neurology, Sint Antonius Ziekenhuis, Nieuwegein, The Netherlands., Liu C; Department of Neurology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China ziwenjie@126.com liuchangcdhy@yahoo.com., Zi W; Department of Neurology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China ziwenjie@126.com liuchangcdhy@yahoo.com.; Department of Neurology, Army Medical University Xinqiao Hospital, Chongqing, China.
Jazyk:	angličtina
Zdroj:	Journal of neurointerventional surgery [J Neurointerv Surg] 2023 Nov; Vol. 15 (e2), pp. e161-e165. Date of Electronic Publication: 2022 Oct 03.
DOI:	10.1136/jnis-2022-019409
Abstrakt:	Background: The effects of secondary collateral compensation on outcomes remain unclear in patients with acute basilar artery occlusion (BAO) after endovascular treatment (EVT). This study aimed to evaluate the benefits of the anastomosis between the posterior inferior cerebellar artery (PICA) and the superior cerebellar artery (SCA) in BAO after EVT. Methods: This cohort study was conducted using data from the Endovascular Treatment for Acute Basilar Artery Occlusion Study Registry. Patients with acute BAO and treated with EVT were included. The primary outcome was a modified Rankin Scale score of 0-2 at 90 days. Safety outcomes included symptomatic intracerebral hemorrhage (SICH) and 90-day mortality. Results: Of the 646 patients included in the study, 196 (30.3%) patients had a PICA-SCA anastomosis. The PICA-SCA anastomosis was significantly associated with independent functional outcome at 90 days (67/196 (34.2%) vs 109/450 (24.2%), adjusted OR (aOR) 1.80 (95% CI 1.13 to 2.86), p=0.01) and was significantly associated with a decreased rate of SICH (40/442 (9.0%) vs 5/193 (2.6%), aOR 0.29 (95% CI 0.11 to 0.76), p=0.01). No significant difference was found between PICA-SCA anastomosis and 90-day mortality (219/450 (48.7%) vs 80/196 (40.8%), aOR 0.72 (95% CI 0.48 to 1.08), p=0.11). Subgroup analysis showed that the association between independent functional outcome and PICA-SCA anastomosis was strongest in patients with middle BAO (27/77 (35.1%) vs 22/118 (18.6%), aOR 2.64 (95% CI 1.13 to 6.15), p=0.03). Conclusions: The PICA-SCA anastomosis is significantly associated with better functional outcomes in patients with acute BAO after EVT, especially in those with middle BAO. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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