Endovascular Versus Medical Management of Posterior Cerebral Artery Occlusion Stroke: The PLATO Study.
Thanh N NguyenMuhammad M QureshiDavide StramboStrbian DanielSilja RätyChristian HerwehMohamad AbdalKaderMarta Olive-GadeaMarc RiboMarios PsychogiosUrs FischerK A T NguyenJoji B KuramatsuDavid HaupenthalMartin KöhrmannCornelius DeuschlJordi Kühne EscolaShadi YaghiLiqi ShuVolker PuetzDaniel P O KaiserJohannes KaesmacherAdnan MujanovicDominique Cornelius MarterstockTobias EngelhornPiers KleinDiogo C HaussenMahmoud H MohammadenHend AbdelhamidLorena Souza VianaBruno CunhaIsabel R FragataMichele RomoliFrancesco DianaPekka VirtanenKimmo LappalainenJudith ClarkStavrous MatsoukasJohanna T FifiSunil A ShethSergio Salazar-MarioniJoão Pedro MartoJoão Nuno RamosMilena MiszczukChristoph RieglerAshutosh P JadhavShashvat M DesaiVolker MausMaximilian KaederAdnan H SiddiquiAndre MonteiroHesham E MasoudNeil SuryadevaraMaxim MokinShail ThankiJames E SieglerJane KhalifeItalo LinfanteGuilherme DabusNegar AsdaghiVasu SainiChristian H NolteEberhard SiebertThomas R MeinelStefanos FinitsisMarkus A MöhlenbruchPeter A RinglebAnne BerberichRaul Gomes NogueiraUta HanningLukas MeyerPatrik MichelSimon NagelPublished in: Stroke (2023)
In patients with isolated posterior cerebral artery occlusion, EVT was associated with similar odds of disability by ordinal modified Rankin Scale, higher odds of early National Institutes of Health stroke scale improvement, and complete vision recovery compared with MM. There was a higher likelihood of excellent outcome in the EVT group despite a higher rate of symptomatic intracranial hemorrhage and mortality. Continued enrollment into ongoing distal vessel occlusion randomized trials is warranted.