Predictors of a Good Outcome after Endovascular Stroke Treatment with Stent Retrievers
Table 1
Patient selection criteria for endovascular stroke treatment with stent retrievers.
Inclusion and exclusion criteria
Clinical inclusion criteria Age: 18–80 years Patients who presented within 6 h of symptom onset for the anterior circulation stroke Patients who presented within 8 h of symptom onset for the basilar thrombosis An NIHSS ≥10 at the time that I.V rt-PA is begun and if no dramatic clinical improvement was observed after IV rt-PA Patients who had contraindication to IV rt-PA and NIHSS ≥10 at the admission
Clinical exclusion criteria Moderate to severe stroke patients who had dramatic clinical improvement (NIHSS ≥8) after IV rt-PA History of severe allergy to contrast medium or nitinol Patients with a preexisting neurological disease that cause moderate disability (mRS ≥2) Advanced and terminal illness Presumed septic embolus or suspicion of bacterial endocarditis Clinical presentation suggests a subarachnoid hemorrhage even if the initial CT scan is normal Baseline lab values: glucose <50 mg/dL or >400 mg/dL, platelets <100 000
Imaging exclusion criteria CT evidence of intraparenchymal tumor CT evidence of intracranial hemorrhage Large (more than 1/3 of the middle cerebral artery) regions of clear hypodensity on baseline CT or having ASPECT score of <5 MRI or CT evidence of extensive brainstem lesions (e.g., bilateral pons or mesencephalic involvement)