| Abstract [eng] |
Annotation Basilar artery thrombosis can be defined as a rare but highly severe form of stroke within the posterior circulation. It often presents with very high mortality and morbidity rates. Although accounting for only 1% of all ischemic stroke cases, BAO is a serious clinical challenge due to its nonspecific symptoms and the need for rapid diagnosis and intervention [1]. BAO is primarily caused by mechanisms that are also the cause of other types of ischemic strokes, mainly atherosclerosis and embolism [7]. This review aimed to critically analyze the existing evidence for mechanical thrombectomy for BAO, the criteria for patient selection, and the resulting treatment outcomes. Tasks: 1. Examine existing research on the pathogenesis, epidemiology, and clinical outcomes of BAO. 2. Assess the literature on mechanical thrombectomy, including its mechanisms, efficacy, and safety. 3. Analyze previous studies on the implementation of endovascular treatment (EVT) for BAO, providing insights into decision-making processes and patient outcomes. 4. Identify emerging trends and future directions in the treatment of BAO. The Research Literature Search Strategy involved a manual search in the PubMed and Google Scholar databases with the keywords “Basilar Artery,” “Occlusion,” “Thrombectomy,” “Endovascular Treatment,” and “Controversy.” A total of 58 articles were included in this literature review, and each article was screened according to its importance for the review, especially various studies that evaluate the efficacy of Endovascular Treatment (EVT) as opposed to Standard Medical Therapy (SMT) and resulting outcomes of the treatment. To include the most recent literature and evaluate completed trials, only English studies published in the last 15 years were allowed. This review concludes that BAO management still reflects a need for further research to refine treatment strategies, optimize patient selection, and determine the most effective use of EVT and adjunct therapies while also providing a possibility of EVT becoming a more standardized approach for BAO if ongoing research continues to support its efficacy. |
