Current endovascular strategies for posterior circulation large vessel occlusion stroke: report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee

Abstract

BackgroundThe aim of this publication is to provide a detailed update on the diagnosis, treatment, and endovascular techniques for posterior circulation emergent large vessel occlusion (pc-ELVO).MethodsWe performed a review of the literature to specifically evaluate this disease and its treatments.ResultsData were analyzed, and recommendations were reported based on the strength of the published evidence and expert consensus.ConclusionWhile many questions about pc-ELVO remain to be studied, there is evidence to support particular practices in its evaluation and treatment.

Safety of inter-hospital transfer of patients with acute ischemic stroke for evaluation of endovascular thrombectomy

“…short distance to the main hub, no accompanying physician timely available). We also included patients with basilar artery occlusion in our study due to their importance in tertiary stroke centers, although the evidence of benefit of EVT is lower in this group of patients 32,33 . Furthermore, we cannot comment on the proportion of EVT-eligible patients who were not transferred for evaluation of EVT.…”

Society of NeuroInterventional Surgery recommendations for the care of emergent neurointerventional patients in the setting of COVID-19

“…We recommend that providers use currently available guidelines and recommendations based on multiple randomized trials for identification and management of large vessel occlusion whenever possible. [6][7][8] Because of the significant proven benefit of thrombectomy for patients with emergent large vessel occlusion, denial of this treatment likely creates a greater drain on healthcare resources.…”

COVID-19: Indian Society of Neuroradiology (ISNR) Consensus Statement and Recommendations for Safe Practice of Neuroimaging and Neurointerventions

“…The criteria for selecting patients for mechanical thrombectomy remain the same even in this pandemic era, for both anterior and posterior circulation strokes. [31][32][33] However, it is advisable to exercise some restraint as outlined below.…”