MECHANICAL THROMBECTOMY FOR LOW NIHSS IN ANTERIOR CIRCULATION LARGE VESSEL OCCLUSION: A POOLED ANALYSIS
Recommended Citation
Batista S, Pinheiro A, Simoni G, Bertoli E, Paranhos T, Jum'ah A. MECHANICAL THROMBECTOMY FOR LOW NIHSS IN ANTERIOR CIRCULATION LARGE VESSEL OCCLUSION: A POOLED ANALYSIS. J Neurointerv Surg 2024; 16:A116-A117.
Document Type
Conference Proceeding
Publication Date
7-21-2024
Publication Title
J Neurointerv Surg
Abstract
Introduction Mechanical thrombectomy (MT) emerged as a treatment modality in LVO of theanterior circulation, however, its use for patients with low National Institutes of Health Stroke Scale(NIHSS) is still obscure. Methods To clear it more, we made a systematic review across Pubmed, Embase, and CochraneLibrary, selecting all studies with four or more patients that reported data of patients with low NIHSStreated through MT. Excellent and favorable functional outcomes, defined as modified Rankin scale(mRs) of 0- 1 and 0-2, and symptomatic intracranial hemorrhage (sICH) and mortality were evaluated. Results A total of 17 observational studies, involving 2360 patients undergoing MT were included inthe analysis. Excellent functional outcomes obtained a proportion rate of 64% while favorablefunctional outcomes achieved a rate of 78%. Safety was evaluated and sICH and mortality showed arate of 5% in both. In all outcomes evaluated, there was a high heterogeneity between studies, exceptin mortality. Conclusion This pooled analysis suggests that MT is a feasible option for the treatment of patientspresenting with an acute anterior circulation LVO stroke, with good rates of efficacy and safety. (Figure Presented).
Volume
16
First Page
A116
Last Page
A117
