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

Yasha Kayan, Philip M. Meyers, Charles J. Prestigiacomo, Peter Kan, Justin F. Fraser

Research output: Contribution to journalArticlepeer-review

43 Scopus citations


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.

Original languageEnglish
Pages (from-to)1055-1062
Number of pages8
JournalJournal of NeuroInterventional Surgery
Issue number10
StatePublished - Oct 1 2019

Bibliographical note

Funding Information:
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 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.

Publisher Copyright:
© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.


  • standards
  • stroke
  • thrombectomy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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