Abstract

To the Editor: With great interest we read the meta-analysis on the therapy of basilar artery occlusion (BAO) by Lindsbergh and Mattle1 published in the March issue of Stroke . The authors compared the pooled data from 13 retrospective studies (3 studies including 76 patients treated by intravenous thrombolysis [IVT], and 10 studies including 344 patients treated by intra-arterial thrombolysis [IAT]) in patients with BAO. The authors draw the conclusions that the route of drug delivery for treatment of BAO does not make a difference in clinical outcome and that the odds for survival without a handicap improve equally after IVT and IAT. We agree with the authors that the recanalization …

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