Research Article

Outcomes of Endovascular Treatment for Posterior Circulation Stroke According to the Underlying Pathologic Mechanism: A Retrospective Single-Center Analysis

Table 1

Baseline characteristics of all subjects.

All patients ()Embolism group ()Intrinsic group () value

Age (yr)0.09
Gender (male)78 (72.2)40 (69.0)38 (76.0)0.51
Risk factor
 Atrial fibrillation37 (34.3)33 (56.9)4 (8.0)<0.001
 Hypertension81 (75.0)37 (63.8)44 (88.0)0.004
 Diabetes mellitus18 (16.7)10 (17.2)8 (16.0)1.0
 Dyslipidemia10 (9.3)3 (5.2)7 (14.0)0.18
 Prior stroke7 (6.5)2 (3.4)5 (10.0)0.24
 Smoking30 (27.8)13 (22.4)17 (34.0)0.20
 Valvular heart disease5 (4.6)4 (6.9)1 (2.0)0.37
Anticoagulant drug11 (10.2)9 (15.5)2 (4.0)0.06
Antiplatelet drug10 (9.3)3 (5.2)7 (14.0)0.18
Intravenous thrombolysis10 (9.3)6 (10.3)4 (8.0)0.74
Systolic pressure (mmHg)0.85
Fast glucose (mmol/L)0.05
LDL (mmol/L)0.17
Occlusion sites
 Basilar artery87 (80.6)46 (79.3)41 (82.0)<0.001
 Proximal segment30 (27.8)5 (8.6)25 (50.0)NA
 Middle segment17 (15.7)6 (10.3)11 (22.0)NA
 Distal segment40 (37.0)35 (60.3)5 (10.0)NA
 Vertebral artery10 (9.3)2 (3.4)8 (16.0)0.04
 Posterior cerebral artery11 (10.2)10 (17.2)1 (2.0)0.009
Baseline NIHSS score0.65
Pc-ASPECTS, median (IQR)9 (8-10)9 (8-10)9 (7-10)0.59
Pc-CS classification0.25
 ≥ 350 (46.3)30 (51.7)20 (40.0)
 < 358 (53.7)28 (48.3)30 (60.0)
Time to procedure (min)0.004
Procedure time (min)<0.001
Onset to recanalization (min)<0.001
Procedural characteristics
 General anesthesia15 (13.9)6 (10.3)9 (18.0)0.27
 Retrieval times, median (IQR)1 (1-2)1 (1-2)1 (1-2)0.82
 Aspiration53 (49.1)40 (69.0)13 (26.0)<0.001
 Stent retrieval54 (50)28 (48.3)26 (52.0)0.84
 Stent angioplasty32 (29.6)7 (12.1)25 (50.0)<0.001
 Balloon angioplasty29 (26.9)3 (5.2)26 (52.0)<0.001
 Intra-arterial or/and venous tirofiban59 (54.6)16 (27.6)43 (86.0)<0.001

IQR: interquartile; NIHSS: National Institute of Health Stroke Scale; Pc-ASPECTS: posterior circulation Alberta Stroke Program Early CT Score; Pc-CS: posterior circulation collateral score.