Endovascular Thrombectomy Versus Medical Management in Patients Presenting Beyond 24 Hours of Last Known Well and with FLAIR Vascular Hyperintensities–DWI Mismatch

Puntos clave

• To compare the effectiveness of endovascular thrombectomy (EVT) versus medical management in patients with FVH-DWI mismatch presenting beyond 24 hours of last known well.
• Compared EVT and medical management outcomes.
• Focused on patients with FVH-DWI mismatch.
• Assessed functional independence and risk of sICH.
• EVT increased odds of functional independence compared to medical management.
• Patients treated with EVT faced higher rates of symptomatic intracerebral hemorrhage (sICH).
• FVH-DWI mismatch may serve as a critical imaging marker for EVT selection.