Outcomes after endovascular mechanical thrombectomy for low compared to high National Institutes of Health Stroke Scale (NIHSS): A multicenter study

The role of endovascular mechanical thrombectomy (MT) in patients presenting with “minor” stroke is uncertain. We aimed to compare outcomes after MT for ischemic stroke patients presenting with National Institutes of Health Stroke Scale (NIHSS) 5 and – within the low NIHSS cohort – identify predicto...

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Published in:Clinical neurology and neurosurgery 2023-02, Vol.225, p.107592-107592, Article 107592
Main Authors: Abecassis, Isaac Josh, Almallouhi, Eyad, Chalhoub, Reda, Kasab, Sami Al, Bass, Eric, Ding, Dale, Saini, Vasu, Burks, Joshua D., Maier, Ilko L., Psychogios, Marios-Nikos, Liman, Jan, Alawieh, Ali, Wolfe, Stacey, Arthur, Adam S., Shaban, Amir, Dumont, Travis, Kan, Peter, Kim, Joon-Tae, De Leacy, Reade, Osbun, Joshua, Rai, Ansaar, Jabbour, Pascal, Grossberg, Jonathan A., Park, Min S., Crosa, Roberto, Mascitelli, Justin, Levitt, Michael R., Polifka, Adam, Casagrande, Walter, Yoshimura, Shinichi, Matouk, Charles, Williamson, Richard W., Gory, Benjamin, Mokin, Maxim, Fragata, Isabel, Romano, Daniele G., Chowdry, Shakeel, Moss, Mark, Behme, Daniel, Limaye, Kaustubh, Spiotta, Alejandro M., Starke, Robert M.
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Language:eng
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Summary:The role of endovascular mechanical thrombectomy (MT) in patients presenting with “minor” stroke is uncertain. We aimed to compare outcomes after MT for ischemic stroke patients presenting with National Institutes of Health Stroke Scale (NIHSS) 5 and – within the low NIHSS cohort – identify predictors of a favorable outcome, mortality, and symptomatic intracranial hemorrhage (ICH). We retrospectively analyzed a prospectively maintained, international, multicenter database. The study cohort comprised a total of 7568 patients from 29 centers. NIHSS was low ( 5 in 6964 (92%). Patients with low NIHSS were younger (67 + 14.8 versus 69.6 + 14.7 years, p 
ISSN:0303-8467
1872-6968