W Boisseau, A Benomar, C Ducroux, R Fahed, S Smajda, J D B Diestro, G Charbonnier, J Ognard, J Burel, A Ter Schiphorst, M Boulanger, A Nehme, J Boucherit, G Marnat, D Volders, Q Holay, G Forestier, M Bretzner, D Roy, S Vingadassalom, M Elhorany, L Nico, G Jacquin, M Abdalkader, A Guedon, P Seners, K Janot, V Dumas, R Olatunji, S Gazzola, G Milot, J Zehr, T E Darsaut, D Iancu, J Raymond
BACKGROUND AND PURPOSE: The best management of patients with persistent distal occlusion after mechanical thrombectomy with or without IV thrombolysis remains unknown. We sought to evaluate the variability and agreement in decision-making for persistent distal occlusions. MATERIALS AND METHODS: A portfolio of 60 cases was sent to clinicians with varying backgrounds and experience. Responders were asked whether they considered conservative management or rescue therapy (stent retriever, aspiration, or intra-arterial thrombolytics) a treatment option as well as their willingness to enroll patients in a randomized trial...
February 22, 2024: AJNR. American Journal of Neuroradiology