TY - JOUR T1 - Impact of anesthetic strategy on outcomes for patients with acute basilar artery occlusion undergoing mechanical thrombectomy JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg DO - 10.1136/neurintsurg-2021-018000 SP - neurintsurg-2021-018000 AU - Fengli Li AU - Junfang Wan AU - Jiaxing Song AU - Junjie Yuan AU - Weilin Kong AU - Jiacheng Huang AU - Weidong Luo AU - Deping Wu AU - Linyu Li AU - Luming Chen AU - Chenghao Zhao AU - Jin Chen AU - Hui Tao AU - Hongfei Sang AU - Zhongming Qiu AU - Wenjie Zi AU - Qingwu Yang AU - Xingyu Chen AU - Hong Li AU - Feng Peng Y1 - 2021/11/03 UR - http://jnis.bmj.com/content/early/2021/11/03/neurintsurg-2021-018000.abstract N2 - Background The best anesthetic management strategy for patients with acute large vessel occlusion treated with mechanical thrombectomy (MT) remains uncertain. Most studies have focused on anterior–circulation stroke caused by large artery occlusion. Nevertheless, limited data are available on the appropriate choice of anesthetic for acute basilar artery occlusion (BAO). We aimed to investigate the effect of anesthetic method on clinical outcomes in patients with BAO undergoing MT.Methods Patients undergoing MT for acute BAO in the BASILAR registry (Acute Basilar Artery Occlusion Study) were included. We divided patients into three groups according to the anesthetic technique used during MT: general anesthesia (GA), local anesthesia (LA), and conscious sedation (CS). Propensity score matching was performed to achieve baseline balance.Results 639 patients were included. GA was used in 257 patients (40.2%), LA was used in 250 patients (39.1%), and CS was used in 132 patients (20.7%). After 1:1 matching, favorable outcome, mortality, and hemorrhagic transformation rates, as well as modified Rankin Scale (mRS) score at 90 days, did not differ between the GA, LA, and CS groups.Conclusions The choice of anesthetic strategy, GA, LA, or CS, did not affect the clinical outcomes of patients with acute BAO treated with MT in the BASILAR registry.The data are available upon reasonable request. ER -