Neurology Minute
Comparing IV Thrombolysis to Endovascular Therapy in Basilar Occlusion
Jun 6, 2024
Neurologists Dr. Ackerman and Dr. Räty compare outcomes of IV thrombolysis vs. endovascular therapy in treating basilar artery occlusion. Study shows positive outcomes with IVT, highlighting prediction factors and functional recovery probability differences.
02:53
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Quick takeaways
- IV thrombolysis shows favorable outcomes for basilar artery occlusion patients despite delays in treatment.
- IV thrombolysis is more effective than endovascular thrombectomy for patients with basilar artery occlusion.
Deep dives
IV Thrombolysis in Basilar Artery Occlusion
Patients with basilar artery occlusion, despite severe conditions and delayed treatment, show favorable outcomes with IV thrombolysis. A study with 245 patients revealed almost half achieving functional recovery at three months. Outcome predictors include age, symptom severity, and baseline ischemic changes, rather than time from symptom onset. Comparatively, patients treated with IV thrombolysis alone had a higher chance of functional improvement than those undergoing endovascular thrombectomy. This suggests that IV thrombolysis should be considered as the primary treatment even with an aggressive patient selection.
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