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Review
. 2019 Oct;11(10):1055-1062.
doi: 10.1136/neurintsurg-2019-014873. Epub 2019 May 18.

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

Yasha Kayan  1 , Philip M Meyers  2 , Charles J Prestigiacomo  3 , Peter Kan  4 , Justin F Fraser  5 ; Society of NeuroInterventional Surgery
Collaborators, Affiliations
Review

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

Yasha Kayan et al. J Neurointerv Surg. 2019 Oct.

Abstract

Background: The 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).

Methods: We performed a review of the literature to specifically evaluate this disease and its treatments.

Results: Data were analyzed, and recommendations were reported based on the strength of the published evidence and expert consensus.

Conclusion: While many questions about pc-ELVO remain to be studied, there is evidence to support particular practices in its evaluation and treatment.

Keywords: standards; stroke; thrombectomy.

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Conflict of interest statement

Competing interests: JFF is an equity interest holder for Fawkes Biotechnology, LLC, and a consultant for Stream Biomedical and Medtronic Neurovascular. PK is a consultant for Stryker and Medtronic Neurovascular. YK is a consultant for Penumbra and for Medtronic Neurovascular. PMM is a consultant for Stryker, Medtronic, Penumbra, and Siemens. A S Arthur is a consultant for Balt, Johnson and Johnson, Leica, Medtronic, Microvention, Penumbra, Scientia, Siemens, and Stryker. He has research support from Cerenovus, Microvention, Penumbra, and Siemens. He is a shareholder in Bendit, Cerebrotech, Endostream, Magneto, Marblehead, Neurogami, Serenity, Synchron, Triad Medical, and Vascular Simulations. B Baxter is a consultant for Penumbra, Medtronic, Stryker, Metactive, and 880 Medical. He has stock in Penumbra, and stock options in Viz.ai. He has ownership interest in Route 92 and Marblehead. Dr Chen is a consultant for Medtronic, Stryker, Genentech, Imperative Health, Microvention, and Cerenovus. G Dabus is a consultant for Medtronic, Microvention, Penumbra, Stryker, and Cerenovus. He is a shareholder in InNeuroCo. K Fargen is a consultant for Cerebrotech. D Frei is a consultant for Genentech, Penumbra, and Stryker. He has stock ownership in Penumbra. S Hetts has a Royalty Agreement with Penumbra. He contracts for Core Imaging Lab for Stryker and MicroVention. He has a research contract with Siemens. He is on Data Safety and Monitoring Boards for DAWN, ARISE2, and PHIL trials. He has grant support through NCI and NIBIB. M S Hussain is a consultant for Cerenovus. M V Jayaraman is a speaker for Medtronic. R P Klucznik is a consultant for Medtronic and Microvention. W J Mack is a consultant for Rebound Therapeutics, Viseon TSP, Medtronic, Penumbra, and Stream Biomedical. He is an investor in Cerebrotech, Endostream, Viseon, and Rebound Therapeutics. R McTaggart is a consultant for Stryker. J Milburn is a consultant for Stryker and Penumbra. M Mokin is a consultant for Canon Medical, Cerebrotech, and Imperative Care. J Mocco receives research support from Stryker, Penumbra, Medtronic, and Microvention. He is a consultant for Imperative Care, Cerebrotech, Viseon, Endostream, Rebound Therapeutics, and Vastrax. He is an investor/shareholder in BlinkTBI, Serenity, NTI, Neurvana, and Cardinal Consulting. G L Pride is a consultant for Sequent and Microvention-Terumo. He is on the Data Safety and Monitoring Board for Web-IT Study (Cerenovus) and for the Pulserider NAPA trial. R M Starke receives research support from NREF, Joe Niekro Foundation, Brain Aneurysm Foundation, Bee Foundation, NIH, Miami Clinical and Translational Science Institute, National Center for Advancing Translational Sciences, and the National Institute on Minority Health and Health Disparities. He is a consultant for Penumbra, Abbott, Medtronic, and Cerenovus. P J Sunenshine is a consultant for Medtronic. G Toth is a consultant for Dynamed EBSCO.

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