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May 17, 2026American Journal of NeuroradiologyOpen Access

Elevated T max >4 Seconds Volume Predicts Worse Functional Outcome Following Endovascular Treatment in M2 Middle Cerebral Artery Occlusion

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Authors

IKIman KianiAKAlireza KooshkiHSHamza Salim

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Overview

Retrospective study evaluates Tmax >4s volume's ability to predict outcomes in M2 MCA occlusion patients post EVT, suggesting useful prognostic information.

Key Points

  • This study aims to determine if the Tmax >4s volume predicts functional outcomes in M2 MCA occlusion patients receiving endovascular treatment.
  • Retrospective analysis of acute ischemic stroke patients with M2 MCA occlusion who underwent EVT.
  • Utilized univariable and multivariable logistic regression to analyze outcomes based on Tmax >4s volume.
  • Adjusted for variables including age, admission NIHSS, ASPECTS, IVT, and mTICI.
  • 130 patients were included, median age 75.5 years.
  • Tmax >4s volume >113 mL had an AUC of 0.81, indicating strong predictive ability for outcomes.
  • Higher Tmax >4s volume and admission NIHSS correlated with lower favorable outcome odds (OR: 0.24 and OR: 0.88 respectively).

Cite This Study

Kiani et al. (2026) studied this question.

synapsesocial.com/papers/6a095a877880e6d24efe0857https://doi.org/10.3174/ajnr.a9416
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Abstract TP241: Redefining Ischemic Core, Penumbra, and Target Mismatch on CT Perfusion in Acute Anterior Distal Medium Vessel Occlusions2026
  2. 2Target mismatch criteria in acute ischemic stroke patients with distal-medium vessel occlusion2026
  3. 3Factors Associated with Functional Outcome Following Acute Ischemic Stroke Due to M1 MCA/ICA Occlusion in the Extended Time Window2025 · 1 citations
  4. 4ABSTRACT NUMBER: ESOC2026A1464 PREDICTORS OF OUTCOME IN M2 MIDDLE CEREBRAL ARTERY ENDOVASCULAR THROMBECTOMY2026
  5. 5Target mismatch criteria in acute ischemic stroke patients with distal-medium vessel occlusion.2025 · 4 citations