Mechanical Thrombectomy Beyond 2b Reperfusion: Should We Pursue a Higher Reperfusion Grade after Achievement of 2b?

ABSTRACT:

Background

Extended thrombolysis in cerebral infarction (eTICI) 2c/3 reperfusion after mechanical thrombectomy (MT) is associated with better stroke outcomes than eTICI 2b. Whether additional MT attempt after achieving eTICI 2b (beyond 2b attempt) leads to better outcomes is unknown.

Methods

Consecutive patients with acute anterior circulation stroke who achieved eTICI 2b during MT were divided into 2 groups: those who further tried MT (beyond-2b group) and those without (nonbeyond-2b group). The patients who directly achieved eTICI 2c/3 without experiencing 2b (direct-2c/3 group) were also studied. The outcomes included the reperfusion status, favorable outcome (3-month modified Rankin scale score of 0-2), neurological improvement (a ≥10-point decrease of the National Insti

SUBMITTER: Koge J 

PROVIDER: S-EPMC12778745 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature