What question did this study set out to answer?

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.

April 18, 2026World Neurosurgery0 citationsOpen Access

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

View Full Paper

SLShuling LiuTianjin Huanhu Hospital YXYongbo XuTianjin Huanhu Hospital DSDaniel H. SahleinSt. Vincent Hospital

Key Points

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.

Abstract

In patients with FVH-DWI mismatch, EVT was associated with better odds of functional independence, despite an increased risk of sICH. These results suggest that the FVH-DWI mismatch may be a useful imaging marker for selecting patients for EVT who present more than 24 hours.

问 AI

Bookmark

View Full Paper

问 AI

Bookmark

View Full Paper

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

Key Points

Abstract

Cite This Study

Also Consider

Also Consider