Endovascular thrombectomy versus medical management for large vessel occlusion stroke patients with brain malignancy

Sinan Aktay; Huanwen Chen; Matthew K McIntyre; Marco Colasurdo; Dhairya A. Lakhani; Sridhara Yaddanapudi; Anil K. Malhotra; Graeme F. Woodworth; D Gandhi

doi:10.3174/ajnr.a9359

April 20, 2026American Journal of NeuroradiologyOpen Access

Endovascular thrombectomy versus medical management for large vessel occlusion stroke patients with brain malignancy

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Key Points

This study evaluates the safety and efficacy of endovascular thrombectomy (EVT) in large vessel occlusion stroke patients with brain malignancy.
Retrospective cohort analysis using the 2016-2022 Nationwide Readmissions Database.
Included adult patients with LVO stroke and brain malignancy; compared EVT to best medical management.
Primary outcome assessed was functional independence at discharge.
EVT patients showed higher rates of functional independence at 16.6% compared to 7.9% for medical management (p=0.001).
EVT was linked to increased intraparenchymal hemorrhage (21.5% vs. 13.3%, p=0.018) and subarachnoid hemorrhage (11.5% vs. 1.5%, p<0.001).
No significant differences were found in hospital length of stay and mortality (p>0.05).

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This retrospective cohort study demonstrates greater functional independence in stroke patients with brain malignancy receiving EVT compared to medical management, suggesting potential benefits...

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Cite This Study

Aktay et al. (2026) studied this question.

synapsesocial.com/papers/69e866f16e0dea528ddeb3eb https://doi.org/10.3174/ajnr.a9359

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Endovascular thrombectomy versus medical management for large vessel occlusion stroke patients with brain malignancy

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Endovascular thrombectomy versus medical management for large vessel occlusion stroke patients with brain malignancy

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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