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Advanced Neurology Futile recanalization of acute basilar artery occlusion
analytical framework may compromise a comprehensive Ethics approval and consent to participate
assessment of the inflammation status among the study
participants. Finally, it is essential to underscore that all This study was approved by the Medical Ethics Committee
procedures within the purview of this study were executed of the Affiliated Hospital of Xuzhou Medical University
by multiple neuro-intervention specialists. The variability (approval number: XYFY2018-KL078). Written informed
in operators’ experience levels and distinct operational consent was individually obtained from all patients. We
methodologies potentially introduces an element of affirm that all methods conducted in our study adhered to
the pertinent guidelines and regulations.
subjectivity that may impact vessel recanalization.
5. Conclusion Consent for publication
Not applicable.
In conclusion, ACGS-BAO and pre-procedural SIRI
stand as standard, readily available metrics in clinical Availability of data
practice. They respectively evaluate the condition
of basilar collateral circulation and the extent of the The datasets used and analyzed during the current study are
inflammatory response, both intrinsically linked to the available from the corresponding author upon reasonable
occurrence of FR post-EVT. Our study affirms a negative request.
correlation between collateral circulation status and FR References
while conversely establishing a positive correlation with
inflammation levels. The combined use of these two 1. Israeli-korn SD, Schwammenthal Y, Yonash-Kimchi T, et al.,
biomarkers proves more predictive of post-operative 2010, Ischemic stroke due to acute basilar artery occlusion:
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holds significant implications for tailoring individualized 2. Mattle HP, Arnold M, Lindsberg PJ, et al., 2011, Basilar
treatment strategies and mitigating the risk of additional artery occlusion. Lancet Neurol, 10: 1002–1014.
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Acknowledgments Outcomes of stent retriever thrombectomy in basilar artery
occlusion: An observational study and systematic review.
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https://doi.org/10.1136/jnnp-2014-310250
Funding
4. Zi W, Qiu Z, Wu D, et al., 2020, Assessment of endovascular
The study supported by the National Health Commission treatment for acute basilar artery occlusion via a nationwide
Brain Prevention Committee, under the grant “Research prospective registry. JAMA Neurol, 77: 561–573.
and Promotion Project of Appropriate Technology https://doi.org/10.1001/jamaneurol.2020.0156
Intervention for High-risk Groups of Stroke in China”
(GN-2018R0009), and “Xuzhou Promoting Science and 5. Jovin TG, Li C, Wu L, et al., 2022, Trial of thrombectomy
Technology Innovation Project” (KC22241). 6 to 24 hours after stroke due to basilar-artery occlusion.
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Conflict of interest https://doi.org/10.1056/NEJMoa2207576
The authors declare that they have no competing interests. 6. Tao C, Nogueira RG, Zhu Y, et al., 2022, Trial of endovascular
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Author contributions 387: 1361–1372.
Conceptualization: Yao-Wu Liu, Bo Du, De-Qin Geng https://doi.org/10.1056/NEJMoa2206317
Data curation: Yao-Wu Liu, Qi-Yang Yuan, Shuo Li, Jin-Jin 7. Hussein HM, Georgiadis AL, Vazquez G, et al., 2010,
Yang Occurrence and predictors of futile recanalization following
Formal analysis: Yao-Wu Liu, Qi-Yang Yuan, Bo Du endovascular treatment among patients with acute ischemic
Investigation: Dian-Shuai Gao, De-Qin Geng stroke: A multicenter study. AJNR Am J Neuroradiol,
Methodology: Yao-Wu Liu, Shi-Guang Zhu, De-Qin Geng 31: 454–458.
Writing – original draft: Yao-Wu Liu, Qi-Yang Yuan, Bo Du https://doi.org/10.3174/ajnr.A2006
Writing – review & editing: Yao-Wu Liu, Bilal Muhammad,
Yan-Bo Cheng, Shi-Guang Zhu, De-Qin Geng 8. Tomsick T, Broderick J, Carrozella J, et al., 2008,
Revascularization results in the interventional management
All authors read and approved the final manuscript. of stroke II trial. AJNR Am J Neuroradiol, 29: 582–587.
Volume 2 Issue 4 (2023) 10 https://doi.org/10.36922/an.1641

