Early TICI 2b or Late TICI 3-Is Perfect the Enemy of Good?

ABSTRACT:

Background and purpose

A Thrombolysis in Cerebral Infarction (TICI) score of 3 has been established as therapeutic goal in endovascular therapy (EVT) for acute ischemic stroke; however, in the case of early TICI2b reperfusion, the question remains whether to stop the procedure or to continue in the pursuit of perfection (i.e., TICI 2c/3).

Methods

A total of 6635 patients were screened from the German Stroke Registry. Patients who underwent EVT for occlusion of the middle cerebral artery (M1 segment), with final TICI score of 2b/3 were included. Multivariable logistic regression was performed with functional independence (modified Rankin Scale, mRS at day 90 of 0-2) as the dependent variable.

Results

Of 1497 patients, 586 (39.1%) met inclusion criteria with a final TIC

SUBMITTER: Flottmann F 

PROVIDER: S-EPMC9187567 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature