Assessing the Efficacy of Mechanical Thrombectomy in Patients with an NIHSS < 6 Presenting with Proximal Middle Cerebral Artery Vessel Occlusion as Compared to Best Medical Management

Vivek Srikar Yedavalli; Omar Hamam; Julie Gudenkauf; Richard Wang; Rafael Llinas; Elisabeth Breese Marsh; Justin Caplan; Kambiz Nael; Victor Urrutia

doi:10.3390/brainsci13020214

Brain Sciences (Jan 2023)

Assessing the Efficacy of Mechanical Thrombectomy in Patients with an NIHSS < 6 Presenting with Proximal Middle Cerebral Artery Vessel Occlusion as Compared to Best Medical Management

Vivek Srikar Yedavalli,
Omar Hamam,
Julie Gudenkauf,
Richard Wang,
Rafael Llinas,
Elisabeth Breese Marsh,
Justin Caplan,
Kambiz Nael,
Victor Urrutia

Affiliations

Vivek Srikar Yedavalli: Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21287, USA
Omar Hamam: Department of Radiology and Radiological Sciences, Johns Hopkins Medicine, Baltimore, MD 21205, USA
Julie Gudenkauf: Department Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD 21287, USA
Richard Wang: Department of Radiology and Radiological Sciences, Johns Hopkins Medicine, Baltimore, MD 21205, USA
Rafael Llinas: Department Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD 21287, USA
Elisabeth Breese Marsh: Department Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD 21287, USA
Justin Caplan: Department Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD 21287, USA
Kambiz Nael: Department of Radiology, University of California, Los Angeles, CA 90095, USA
Victor Urrutia: Department Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD 21287, USA

DOI: https://doi.org/10.3390/brainsci13020214
Journal volume & issue: Vol. 13, no. 2
p. 214

Abstract

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Background and Purpose: Minor acute ischemic stroke (AIS) patients—defined by an NIHSS score p = p = 0.002), favorable NIHSS shift dichotomization (5/11, 45.5% versus 3/35, 8.6%, p = 0.003) and favorable mRS dichotomization (7/11, 63.6% versus 14/35, 40.0%, p = 0.024). Conclusions: In our center’s preliminary experience, for AIS patients presenting with an NIHSS score < 6 secondary to MCA-LVO, MT may be associated with improved clinical outcomes when compared to MM only.

Published in Brain Sciences

ISSN: 2076-3425 (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry
Website: https://www.mdpi.com/journal/brainsci/

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