What question did this study set out to answer?

This study aimed to identify predictors of futile recanalization in patients with large infarcts undergoing endovascular thrombectomy.

Abstract Number: Esoc2026a888 Predictors of Futile Recanalization in Patients With Acute Ischemic Stroke and Large Infarct: A Secondary Analysis of the Tension Trial

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Randomized trial identifies predictors of poor outcomes after EVT in patients with large infarcts, suggesting intervention strategies.

This study aimed to identify predictors of futile recanalization in patients with large infarcts undergoing endovascular thrombectomy.
Secondary analysis of the TENSION randomized controlled trial
Included patients who achieved successful reperfusion (TICI ≥2b)
Used univariable and multivariable logistic regression to find predictors.
Of 128 patients, 68 (62.4%) experienced poor outcomes at 12 months
Older age was associated with poor outcome (OR 1.15, 95% CI 1.05-1.30, p=0.006)
Larger 24-hour infarct volume increased risk of poor outcomes (OR 1.15 per 10 mL, 95% CI 1.04–1.33, p=0.024).

Ciobanu-Caraus et al. (2026) studied this question.

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