Is There a Role for Endovascular Thrombectomy in Stroke with Mild Deficits?

Perhaps only in patients with M1 occlusion

Current guidelines recommend consideration of endovascular thrombectomy (EVT) for acute ischemic stroke only when the clinical deficit measured by the NIH stroke scale is >5. The role of EVT is unclear in patients with milder clinical deficits, especially in the presence of a large vessel occlusion, such as in the distal internal carotid or middle cerebral artery.

In a multicenter retrospective study, researchers compared outcomes in patients with minor stroke (NIH stroke scale ≤5) and presence of a large vessel occlusion who received intended therapy with intravenous thrombolysis (IVT; alteplase) alone or with adjunctive EVT. Propensity-score weighting was used to account for baseline differences. A modified Rankin Scale score of 0 to 1 at …

Reviewing Author

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Is There a Role for Endovascular Thrombectomy in Stroke with Mild Deficits?

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Reviewing Author