Predictors of futile recanalization in ischemic stroke patients with low baseline NIHSS.

ABSTRACT:

Background

There is yet no randomized controlled evidence that mechanical thrombectomy (MT) is superior to best medical treatment in patients with large vessel occlusion but minor stroke symptoms (National Institutes of Health Stroke Scale (NIHSS) <6). Prior studies of patients with admission NIHSS scores ≥6 observed unfavorable functional outcomes despite successful recanalization, commonly termed as futile recanalization (FR), in up to 50% of cases.

Aim

The aim of this study is to determine the prevalence of FR in patients with minor stroke and identify associated patient-specific risk factors.

Methods

Our multicenter cohort study screened all patients prospectively enrolled in the German Stroke Registry Endovascular Treatment from 2015 to 2021 (n = 13,082).

SUBMITTER: Heitkamp C 

PROVIDER: S-EPMC11590392 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature