Article Figures & Data
Figures
- Fig 1.
A 49-year-old woman presented with right hemiplegia and dysarthria (NIHSS score, 13). The patient arrived at the emergency department 72 minutes after symptom detection. MR imaging showed an acute ischemic lesion in the left MCA territory on DWI (A and B) without parenchymal signal changes on FLAIR (C and D) and occlusion of the left MCA (M1 segment) with collateral blood flow in the distal cerebral artery territory on MRA (E). Intravenous thrombolysis was started (0.9 mg/kg) 140 minutes after symptom detection. On DSA, the left MCA was still occluded on the M1 segment (F) and was recanalized after mechanical thrombectomy (TICI 3) (G). Time from symptom detection to recanalization was 189 minutes (3 hours 9 minutes). The mRS score at 3 months was zero.
Tables
Predictive factors associated with favorable outcome at day 90 (mRS ≤2)
Variable Bivariate Logistic Regression Multivariate Logistic Regression OR 95% CI P OR 95% CI P Initial NIHSS For each 1-point decrease 1.19 1.03 1.37 .017 1.43 1.13 1.82 .003 Treatment group Bridging versus thrombolysis 2.95 0.72 12.11 .132 37.91 2.43 591.35 .009 Blood glucose For each 0.5-mmol/L increase 0.82 0.66 1.02 .081 Age For each 5-year increase 0.79 0.60 1.04 .094 Systolic blood pressure For each 10-mm Hg increase 0.80 0.59 1.09 .160 FAT-to-treatment delay For each 30-minute increase 0.81 0.50 1.30 .377
