Endovascular Versus Medical Therapy in Posterior Cerebral Artery Stroke: Role of Baseline NIHSS Score and Occlusion Site.
Davide StramboPatrik MichelThanh N NguyenMohamad AbdalKaderMuhammad M QureshiStrbian DanielChristian HerwehMarkus A MöhlenbruchSilja RätyMarta Olivé-GadeaMarc RiboMarios PsychogiosUrs FischerAnh NguyenJoji B KuramatsuDavid HaupenthalMartin KöhrmannCornelius DeuschlJordi Kühne EscolàJelle DemeestereRobin LemmensLieselotte VandewalleShadi YaghiLiqi ShuVolker PuetzDaniel P O KaiserJohannes KaesmacherAdnan MujanovicDominique Cornelius MarterstockTobias EngelhornManuel RequenaHormuzdiyar H DasenbrockPiers KleinDiogo C HaussenMahmoud H MohammadenHend AbdelhamidLorena Souza VianaBruno CunhaIsabel FragataMichele RomoliFrancesco DianaWei HuChao ZhangPekka VirtanenRiikka LauhaJessica JesserJudith ClarkStavros MatsoukasJohanna T FifiSunil A ShethSergio Salazar-MarioniJoão Pedro MartoJoão Nuno RamosMilena MiszczukChristoph RieglerSven PoliKhouloud PoliAshutosh P JadhavShashvat M DesaiVolker MausMaximilian KaederAdnan H SiddiquiAndre MonteiroHesham E MasoudNeil SuryadarevaMaxim MokinShail ThankiKemal AlpayPauli YlikotilaJames E SieglerItalo LinfanteGuilherme DabusNegar AsdaghiVasu SainiChristian H NolteEberhard SiebertBettina L SerrallachCharlotte S WeylandUta HanningLukas MeyerAnne BerberichPeter A RinglebRaul G NogueiraSimon NagelPublished in: Stroke (2024)
Baseline clinical stroke severity, rather than the occlusion site, may be an important modifier of the association between EVT and outcomes in iPCAO. Only severely affected patients with iPCAO (NIHSS score >6) had more favorable disability outcomes with EVT than MM, despite increased mortality and symptomatic intracranial hemorrhage.