Perfusion imaging-guided risk stratification and endovascular decision-making in low-NIHSS large-vessel occlusion stroke: a systematic review and exploratory meta-analysis
Aug 2026· Journal of Neurology· Vol 273· 0 citations· 38 references
Medicine
TL;DR
A systematic review and exploratory meta-analysis of studies evaluating perfusion or hemodynamic imaging in adults with low-NIHSS LVO stroke found large Tmax-defined hypoperfusion volumes, larger perfusion lesion volumes, and impaired hemodynamic reserve were associated with early neurological deterioration or poor functional outcome.
Post-EVT perfusion imaging (CT or MR) provides tissue-level reperfusion information that complements modified Thrombolysis in Cerebral Infarction (mTICI) grading and identifies biologically distinct patient subgroups.
R. Eichel, Michael Teitcher, S. Mausbach et al.· Journal of Stroke & Cerebrov...· 0 citations
It is suggested that EVT is associated with improved functional outcomes compared with MM alone, particularly in evidence derived from RCTs, while maintaining an acceptable safety profile.
Abdullah M. Alkutbi, H. Almohammed, Ahmed Salah Morad et al.· The Neuroscientist· 0 citations
MRI-R was associated with improved functional outcomes, reduced mortality and lower sICH rates than CT-guided strategies, while in well-equipped centers, MRI can improve patient selection through detailed tissue characterization, provided this does not delay reperfusion and patients have no contraindications.
Sabia Afreen, Michelle Sámano Sánchez, Montserrat Villa Sánchez et al.· Frontiers in Neurology· 0 citations
In patients with minor ischemic stroke caused by severe intracranial stenosis or occlusion, EVT was associated with more favorable early neurological and 90-day functional outcomes after adjustment for measured confounding.
Xiang-Jie Gao, Liqiong Ren· Frontiers in Neuroscience· 0 citations
NFS on post-treatment MRI is a robust imaging biomarker of persistent perfusion deficits and associated with decreased likelihood of successful long-term outcomes even after successful reperfusion.
Cynthia Greene, H. Salim, D. Lakhani et al.· Neuroradiology· 0 citations
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