机构：[1]Department of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK[2]Department of Stroke Medicine, Chelsea and Westminster NHS Trust, London, UK[3]Department of Radiology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA[4]Department of Neurology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, USA[5]Department of Radiology, Interventional Neuroradiology Division, Centre Hospitalier de l‘Universite de Montreal, Montreal, Canada[6]Interventional Neuroradiology, Beijing Tiantan Hospital, Beijing, China首都医科大学附属天坛医院[7]Department of Neurology, Foshan Sanshui District People‘s Hospital, Foshan, China[8]Department of Neurology, Cooper Neurological Institute, Cooper University Hospital, Camden, NJ, USA[9]Department of Neurology, Cooper Medical School of Rowan University, Camden, NJ, USA[10]Department of Neurology, St Antonius Hospital, Nieuwegein, The Netherlands[11]Stroke Center and Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China[12]Department of Neurosurgery, Xuanwu Hospital, Beijing, China神经科系统神经外科首都医科大学宣武医院[13]Department of Neurology, Xuanwu Hospital, Beijing, China神经科系统神经内科首都医科大学宣武医院[14]Department of Medicine and Neurology, Melbourne Brain Centre at the Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, Australia[15]Department of Neurology, Beijing Tiantan Hospital, Beijing, China首都医科大学附属天坛医院[16]Department of Neurology, Heidelberg University Hospital, Heidelberg, Germany[17]Department of Neurology, Klinikum Ludwigshafen, Ludwigshafen, Germany[18]Department of Neurology, Helsinki University Hospital, Helsinki, Finland[19]Hospital de Base do Distrito Federal, Brasilia, Brazil[20]Department of Neurology, Rhode Island Hospital, Brown University, Providence, RI, USA[21]Department of Neurology, Bern University Hospital, University of Bern, Bern, Switzerland[22]Department of Neurology, Basel University Hospital, University of Basel, Bern, Switzerland[23]Second Department of Neurology “Attikon” University Hospital, National and Kapodistrian University of Athens, Athens, Greece[24]Institute of Diagnostic and Interventional Neuroradiology, University Hospital Bern, Inselspital, Bern, Switzerland[25]Department of Stroke Neurology, National Hospital Organization, Osaka National Hospital, Osaka, Japan[26]Department of Neurology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany[27]Dresden Neurovascular Center, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany[28]Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India[29]Department of Neurology, Hospital de Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal[30]Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy[31]Department of Neurology, Akershus University Hospital, Lørenskog, Norway[32]Department of General Practice, University of Oslo, Oslo, Norway[33]Neurology Department, Leuven University Hospital, Leuven, Belgium[34]Hospital das Clínicas, São Paulo University, Sao Paulo, Brazil[35]Universitätsklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Neurologie, Hamburg, Germany[36]Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany[37]Institute for Neuroradiology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany[38]Interventional Neuroradiology, Koc University Hospital, Istanbul University, Istanbul, Turkey[39]Neurology and Stroke Unit, Department of Neuroscience, Bufalini Hospital, Cesena, Italy[40]Neuroradiology, University Hospital ‘San Giovanni di Dio e Ruggi d‘Aragona’, Salerno, Italy[41]Department of Neurology, SUNY Upstate Medical University, Syracuse, NY, USA[42]Royal North Shore Hospital, Sydney, Australia[43]Department of Neurology, Grady Memorial Hospital, Atlanta, GA, USA中山大学附属第二医院[44]Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA[45]Department of Neurology, Affiliated Hangzhou First People‘s Hospital, Zhejiang University School of Medicine, Hangzhou, China[46]Stroke Center, Bach Mai Hospital, Hanoi Medical University, Hanoi, Vietnam[47]Vietnam National University-University of Medicine and Pharmacy, Hanoi, Vietnam[48]Stroke Center Neurology Division, Hôpital Foch, Suresnes, France[49]Department of Neurology, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea[50]Neurovascular Center, Changhai Hospital, Naval Medical University, China[51]Department of Neurology, General Hospital of Northern Theatre Command, Shenyang, China[52]Neuroscience and Stroke Program, Bon Secours Mercy Health St Vincent Hospital, Toledo, OH, USA[53]Department of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University, Chongqing, China[54]Department of Neurology, The 903rd Hospital of The Chinese People‘s Liberation Army, Hangzhou, China
Two early basilar artery occlusion (BAO) randomized controlled trials (RCTs) did not establish the superiority of endovascular thrombectomy (EVT) over medical management. Yet many providers continued to recommend EVT. The goal of the present article is to compare physicians' diagnostic and management strategies of BAO among middle-income and high-income countries (MICs and HICs, respectively).We conducted an international survey from January to March 2022 regarding management strategies in acute BAO, to examine clinical and imaging parameters influencing clinician management of patients with BAO. We compared responses between physicians from HIC and MIC.Among the 1245 respondents from 73 countries, 799 (64.2%) were from HIC, with the remaining 393 (31.6%) from MIC. Most respondents perceived that EVT was superior to medical management for acute BAO, but more so in respondents from HIC (98.0% vs. 94.2%, p < 0.01). MIC respondents were more likely to believe further RCTs were warranted (91.6% vs. 74.0%, p < 0.01) and were more likely to find it acceptable to enroll any patient who met a trial's criteria in the standard medical treatment arm (58.8% vs. 38.5%, p < 0.01).In an area where clinical equipoise was called into question despite the lack of RCT evidence, we found that respondents from MIC were more likely to express willingness to enroll patients with BAO in an RCT than their HIC counterparts.
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2021]版：
大类|4 区医学
小类|4 区临床神经病学4 区核医学
最新[2023]版：
大类|4 区医学
小类|4 区临床神经病学4 区核医学
JCR分区：
出版当年[2020]版：
Q4CLINICAL NEUROLOGYQ4RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版：
Q3CLINICAL NEUROLOGYQ3RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGINGQ4CLINICAL NEUROLOGY
第一作者机构：[1]Department of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK[2]Department of Stroke Medicine, Chelsea and Westminster NHS Trust, London, UK[*2]Department of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK W6 8RF.
通讯作者：
通讯机构：[1]Department of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK[2]Department of Stroke Medicine, Chelsea and Westminster NHS Trust, London, UK[3]Department of Radiology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA[4]Department of Neurology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, USA[*1]Boston Medical Center, Center, Boston University Chobanian & Avedisian School of Medicine, 1 Boston Medical Center, Boston, MA 02118, USA.[*2]Department of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK W6 8RF.
推荐引用方式(GB/T 7714)：
Drumm Brian,Herning Ana,Klein Piers,et al.Basilar artery occlusion management: An international survey of middle versus high-income countries[J].INTERVENTIONAL NEURORADIOLOGY.2022,doi:10.1177/15910199221143190.
APA：
Drumm Brian,Herning Ana,Klein Piers,Raymond Jean,Abdalkader Mohamad...&Banerjee Soma.(2022).Basilar artery occlusion management: An international survey of middle versus high-income countries.INTERVENTIONAL NEURORADIOLOGY,,
MLA：
Drumm Brian,et al."Basilar artery occlusion management: An international survey of middle versus high-income countries".INTERVENTIONAL NEURORADIOLOGY .(2022)
