Highlights
Unknown authors
Abstract
Medical Management vs Mechanical Thrombectomy for Mild Strokes 16Although mechanical thrombectomy (MT) is the standard of care for anterior circulation acute large-vessel occlusion (LVO), it is not known whether MT benefits patients with National Institutes of Health Stroke Scale scores less than 6.Goyal and colleagues evaluated 364 patients with mild deficits and acute LVO treated with MT or best medical management in a retrospective pooled multicenter study over a 5-year period.The patients treated with MT experienced higher odds of asymptomatic intracerebral hemorrhage (ICH) and lower rates of 3-month functional independence compared with patients treated with best medical management.In a meta-analysis that included 843 patients from 4 studies, MT was associated with higher odds of symptomatic ICH, but no other differences, suggesting a clinical trial in this patient population is warranted.