Predictors and Outcomes of Excellent Recanalization Versus Successful Recanalization After Thrombectomy in Proximal and Distal Medium Vessel Occlusion Strokes: A Multinational Study
This study underscores that among patients with MeVO stroke with successful recanalization (mTICI 2b-3) there is higher likelihood of achieving excellent recanalization (mTICI 2c-3) in distal occlusions and cardioembolic pathogenesis. mTICI 2c-3 scores post-MT correlate with improved clinical outcomes compared with mTICI 2b, affirming the superiority of excellent recanalization over successful recanalization in patients with MeVO stroke. Further prospective studies and randomized controlled trials are warranted for validation.
Authors
- Sunil A. Sheth (ORCID: https://orcid.org/0000-0003-0602-8509)
- Jeremy Josef Heit (ORCID: https://orcid.org/0000-0003-1055-8000)
- Mohammad Ali Aziz‐Sultan (ORCID: https://orcid.org/0009-0000-0980-7511)
- Joshua D. Bernstock (ORCID: https://orcid.org/0000-0002-7814-3867)
- Tobias Djamsched Faizy (ORCID: https://orcid.org/0000-0002-1631-2020)
- Hamza A. Shaikh (ORCID: https://orcid.org/0000-0001-8163-4600)
- Luca Scarcia (ORCID: https://orcid.org/0000-0002-1316-0383)
- Constantin Hecker (ORCID: https://orcid.org/0000-0003-0521-8570)
- Pablo Harker (ORCID: https://orcid.org/0000-0003-0263-8748)
- Alessandro Pedicelli (ORCID: https://orcid.org/0000-0002-2558-8838)
- Benjamin Gory (ORCID: https://orcid.org/0000-0001-8424-4464)
- Markus Alfred Möhlenbruch (ORCID: https://orcid.org/0000-0002-5075-704X)
- Ricardo Varela (ORCID: https://orcid.org/0000-0002-8072-1013)
- Aymeric Rouchaud (ORCID: https://orcid.org/0000-0003-0902-3375)
- Hamza Adel Salim (ORCID: https://orcid.org/0000-0002-5208-8425)
- Vincent Costalat (ORCID: https://orcid.org/0000-0001-8428-9101)
- Mohamad K. Abdalkader (ORCID: https://orcid.org/0000-0002-9528-301X)
- Benjamin Yong‐Qiang Tan (ORCID: https://orcid.org/0000-0003-1824-9077)
- Nimer Adeeb (ORCID: https://orcid.org/0000-0002-8668-7629)
- David Altschul (ORCID: https://orcid.org/0000-0002-5130-1378)
- Muhammed Amir Essibayi (ORCID: https://orcid.org/0000-0001-8325-2382)
- Boris Lubicz (ORCID: https://orcid.org/0000-0001-8312-2115)
- Nestor R. Gonzalez (ORCID: https://orcid.org/0000-0002-8277-6317)
- James Ernest Siegler (ORCID: https://orcid.org/0000-0003-0287-3967)
- Nicole M Cancelliere (ORCID: https://orcid.org/0000-0002-8703-4304)
- Nils Henninger (ORCID: https://orcid.org/0000-0002-3883-5623)
- Anna Luisa Kühn (ORCID: https://orcid.org/0000-0001-9512-9461)
- Adam Andrew Dmytriw (ORCID: https://orcid.org/0000-0003-0131-5699)
- Jane Khalife (ORCID: https://orcid.org/0000-0003-3662-3886)
- Marco Colasurdo (ORCID: https://orcid.org/0000-0002-7823-3088)
- Thanh N. Nguyen (ORCID: https://orcid.org/0000-0002-2810-1685)
- Jens Fiehler (ORCID: https://orcid.org/0000-0001-8533-7478)
- Robert William Regenhardt (ORCID: https://orcid.org/0000-0003-2958-3484)
- Pascal M. Jabbour (ORCID: https://orcid.org/0000-0002-8965-2413)
- Frédéric Clarençon (ORCID: https://orcid.org/0000-0002-6442-8239)
- Thomas R. Marotta (ORCID: https://orcid.org/0000-0002-2480-2054)
- João Pedro Filipe (ORCID: https://orcid.org/0000-0002-7232-9820)
- Ashkan Mowla (ORCID: https://orcid.org/0000-0001-5352-8747)
- Xavier Barreau (ORCID: https://orcid.org/0000-0002-4932-1484)
- Amanda Baker (ORCID: https://orcid.org/0000-0002-0291-707X)
- Takahiro Ota (ORCID: https://orcid.org/0000-0002-5108-6719)
- Andrea Maria Alexandre (ORCID: https://orcid.org/0000-0002-8080-3916)
- Illario Tancredi (ORCID: https://orcid.org/0000-0001-5190-2635)
- Vivek Srikar Yedavalli (ORCID: https://orcid.org/0000-0002-2450-4014)
- Christian Paul Stracke (ORCID: https://orcid.org/0000-0003-1242-4372)
- Răzvan Alexandru Radu (ORCID: https://orcid.org/0000-0001-6375-8466)
- Vítor Mendes Pereira (ORCID: https://orcid.org/0000-0002-6804-3985)
- Sri Hari Sundararajan (ORCID: https://orcid.org/0000-0002-6017-3603)
- Adrien Guenego (ORCID: https://orcid.org/0000-0001-7281-1652)
- Basel Musmar (ORCID: https://orcid.org/0009-0000-4910-6090)
- Piers Klein (ORCID: https://orcid.org/0000-0001-7468-137X)
- Aman B. Patel (ORCID: https://orcid.org/0000-0001-9022-411X)
- Christian Dyzmann (ORCID: https://orcid.org/0009-0002-7323-154X)
- Julian Spears (ORCID: https://orcid.org/0000-0001-8458-1524)
- Erwah Kalsoum (ORCID: https://orcid.org/0000-0002-8575-0606)
- Arundhati Biswas (ORCID: https://orcid.org/0000-0003-1645-5563)
- Leonardo Renieri
- Ajit S. Puri
- David S. Liebeskind
- Sherief Ghozy
- Kareem El Naamani
Institutions
- University of Southern California (US)
- Louisiana State University (US)
- Cedars-Sinai Medical Center (US)
- Brigham and Women's Hospital (US)
- Boston Medical Center (US)
- Centre National de la Recherche Scientifique (FR)
- St. Michael's Hospital (CA)
- Albert Einstein College of Medicine (US)
- Westchester Medical Center (US)
- Mayo Clinic (US)
- Montefiore Medical Center (US)
- Harvard University (US)
- Johns Hopkins University (US)
- Thomas Jefferson University (US)
- Inserm (FR)
- Universität Hamburg (DE)
- Oregon Health & Science University (US)
- National University of Singapore (SG)
- University of Massachusetts Chan Medical School (US)
- New York Medical College (US)
- University of Toronto (CA)
- Université de Montpellier (FR)
- Heidelberg University (DE)
- Paracelsus Medical University (AT)
- UCLA Health (US)
- Cooper University Hospital (US)
- Erasmus Hospital (BE)
- University Hospital Heidelberg (DE)
- WinnMed (US)
- Agostino Gemelli University Polyclinic (IT)
- Johns Hopkins Bayview Medical Center (US)
- University Medical Center (US)
- Sorbonne Université (FR)
- Massachusetts General Hospital (US)
- Cooper Medical School of Rowan University (US)
- Centre Hospitalier Universitaire de Montpellier (FR)
- XLIM (FR)
- Centre Hospitalier Régional et Universitaire de Nancy (FR)
- University Hospital Münster (DE)
- Bordeaux Population Health (FR)
- University Medical Center Hamburg-Eppendorf (DE)
- University Hospital and Clinics (US)
- Hôpital Gui de Chauliac (FR)
- Azienda Ospedaliero-Universitaria Careggi (IT)
- Imagerie Adaptative Diagnostique et Interventionnelle (FR)
- Mie University Hospital (JP)
- Pitié-Salpêtrière Hospital (FR)
- Medizinisches Laserzentrum Lübeck (Germany) (DE)
- Technical University of Applied Sciences Lübeck (DE)
- Hôpitaux Universitaires Henri-Mondor (FR)
- Stanford Medicine (US)
- Hôpital Civil de Charleroi (BE)
- National University Hospital (SG)
- Tokyo Metropolitan Tama Medical Center (JP)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- Centro Hospitalar do Porto (PT)
- Neurological Surgery (US)
- Hôpital Dupuytren (FR)
- University of Cincinnati (US)
- Université de Limoges (FR)
- Université de Lorraine (FR)
- The University of Texas Health Science Center at Houston (US)
- University of Cincinnati Medical Center (US)
- University of Lübeck (DE)
Publication Details
- Journal
- Stroke Vascular and Interventional Neurology
- Published
- 2024-10-26
- DOI
- https://doi.org/10.1161/svin.124.001421
- Citations
- 4
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 1.55