“The observation that the outcomes were the same for both types of patients should lead to the performance of the same type of advanced imaging, ie, CT perfusion or diffusion/perfusion MRI, for both transfer patients and those presenting at a thrombectomy center,” he said.
“Further studies are needed to determine what the efficacy boundaries are for the benefits of thrombectomy,” Dr. Fisher said. “What I am suggesting is we know that it is highly effective for patients with small ischemic cores and large mismatches between ischemic core and ischemic penumbra, and we now need to identify how large an ischemic core can be before treatment efficacy is lost.”
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