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Table 4 Outcomes

From: An historical and contemporary review of endovascular therapy for acute ischemic stroke

 

Recanalization (%, EVT v control)

Reperfusion (mTICI 2b/3, %)

Primary outcome

mRS at day 90

mRS 0-2 at day 90

Final infarct volume (mL)

sICH (PH-2, %)

Death at day 90 (%)

New AIS in a different territory (%)

SAE (%)

MR RESCUE

69

27

mRS 3.8 v 3.4

3.8 v 3.4

21 v 26

32 v 32

9 v 6

18 v 21

1.4

62

IMS III

81 ICA; 86 M1; 88 M2

38 ICA; 44 M1; 44 M2

mRS 0-2 41 v 39%

nr

41 v 39

nr

6 v 6

19 v 21

nr

nr

SYNTHESIS

nr

nr

mRS 0-1 30 v 35%

nr

42 v 46

nr

6 v 6

8 v 6

nr

nr

PISTE

69

87

OR 2.12 mRS 0-2 p = 0.2

nr

51 ϖ 40 νσ NNT = 9

nr

0 v 0

7 v 4

nr

45 v 34

THERAPY

nr

70

mRS 0-2 38 v 30% p = 0.44

nr

38 v 30 ns

nr

9.3 v. 9.7

12 v 24

nr

42 v 48

MR CLEAN

75 v 33

59

mRS 3v4 day 90

3 v 4

33 v 19 NNT = 7

49 v 79

6 v 5

21 v 22

5.6

47 v 42

ESCAPE

nr v 31 (mAOL 2-3)

72

cOR 2.6

2 v 4

53 v 29 NNT = 4

nr

4 v 3

10 v 19 (significant)

nr

21 v 18

EXTEND_IA

94 v 43 (TIMI 2-3)

86

24 hr reperfusion 100 v 37% Early neurological recovery 82 v 37%

1 v 3

71 v 40 NNT = 3

23 v 53

0 v 6

9 v 20 (p = 0.18)

5.7

nr

SWIFT PRIME

nr

88

Shift analysis p = 0.0002

2 v 3

60 v 36 NNT = 4

nr

1 v 3

9 v 12 (p = 0.5)

nr

36 v 31

REVASCAT

nr

66

cOR 1.7

nr

44 v 28 NNT = 6

16 v 39

5 v 2

18 v 16

5

30 v 25

THRACE

78

69

mRS 0-2 at day 90 53v42%

nr

53 v 42 NNT =9

nr

2 v 2

12 v 13

6

8 v 7

  1. EVT endovascular thrombectomy, tPA tissue plasminogen activator, Bridging IV tPA + thrombectomy, NIHSS National Institutes of Health Stroke Scale, I-ICA intracranial internal carotid artery, MCA middle cerebral artery, M1 first portion of the middle cerebral artery, from the origin to the bifurcation/trifurcation, M2 s portion of the middle cerebral artery, CTA Computer Tomography Angiography, CTP Computed Tomography Perfusion, vlCBV very low cerebral blood volume, ASPECTS Alberta Stroke Program Early CT Score, nr not recorded, mAOL modified arterial occlusion lesion score, TIMI thrombolysis in myocardial infarction score, mTICI modified thrombolysis in cerebral infarction score, mRS modified Ranking Scale, sICH symptomatic intracranial haemorrhage, PH-2 parenchymal hematoma 2, ie. >30% of the infarcted area with significant space-occupying effect, or clot remote from infarcted area, AIS acute ischemic stroke, SAE serious adverse events