Large vessel occlusion in Stroke, best risk benefit profile
Posted by dkwinter

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Ideal patient for thrombectomy:

  • Small core infarct
  • Large penumbra

 

Such as cases with:

  • Core infarct volume less than 70 mL
  • Mismatch volume of 15 mL or greater
  • Mismatch ratio of 1.8 or greater

 

Other considerations for determining whether a patient is an endovascular intervention candidate:

  • If MCA stroke, assess ASPECTS score
  • CT perfusion study can determine salvagable volume