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March 4, 2026The Egyptian Journal of Neurology Psychiatry and NeurosurgeryOpen Access

Predictors of early neurological deterioration after endovascular thrombectomy for anterior cerebral large-vessel occlusion

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Authors

RKRicky Gusanto KurniawanNational Brain CentreBRBeny RiliantoNational Brain CentreCWCahyo WicaksonoNational Brain Centre

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Implication

Retrospective observational study identifies predictors of early neurological deterioration in anterior circulation, suggesting better recanalization techniques can improve outcomes.

Key Points

  • This research aims to identify predictors of early neurological deterioration (END) after endovascular thrombectomy (EVT) for large vessel occlusion.
  • Conducted a single-center retrospective observational study
  • Analyzed patients who underwent EVT between January 2020 and March 2024
  • Used univariable and multivariable logistic regression to identify predictors of END
  • 29.3% of included patients experienced early neurological deterioration post-EVT
  • Key predictors included ASPECT score < 6, collateral CIS 0–1, unsuccessful recanalization, and intracranial hemorrhage
  • Unsuccessful recanalization was identified as a significant independent predictor of END post-EVT

Cite This Study

Kurniawan et al. (2026) studied this question.

synapsesocial.com/papers/69a7cd8cd48f933b5eed9f28https://doi.org/10.1186/s41983-026-01112-5
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