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Updated: May 27, 2025
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Real-world outcomes after endovascular thrombectomy in patients with large infarct cores
Daniel James Wellington1, Joseph Donnelly2, Jae Beom Hong2
1Department of Medicine, University of Auckland, Auckland, New Zealand.
Patients with large infarct cores on imaging at hospital presentation who are then treated with endovascular thrombectomy achieved functional independence rates ranging from 14%-30% in randomised controlled trials. We describe our 'real-world' experience with these patients. About one-third were independent at day 90, similar to trial results. This was associated with higher rates of complications and double the length of stay.
Patients with large infarct cores on imaging at hospital presentation who are then treated with endovascular thrombectomy achieved functional independence rates ranging from 14%-30% in randomised controlled trials. We describe our 'real-world' experience with these patients. About one-third were independent at day 90, similar to trial results. This was associated with higher rates of complications and double the length of stay.
