Journal article

What Is the “Optimal” Target Mismatch Criteria for Acute Ischemic Stroke?

C Chen, MW Parsons, CR Levi, NJ Spratt, L Lin, T Kleinig, K Butcher, X Cheng, Q Dong, B O'Brien, RI Avivi, M Krause, PN Sylaja, P Choi, S Bhuta, C Yin, J Yang, P Wang, W Qiu, A Bivard

Frontiers in Neurology | Published : 2021

Open access

Abstract

We aimed to compare Perfusion Imaging Mismatch (PIM) and Clinical Core Mismatch (CCM) criteria in ischemic stroke patients to identify the effect of these criteria on selected patient population characteristics and clinical outcomes. Patients from the INternational Stroke Perfusion Imaging REgistry (INSPIRE) who received reperfusion therapy, had pre-treatment multimodal CT, 24-h imaging, and 3 month outcomes were analyzed. Patients were divided into 3 cohorts: endovascular thrombectomy (EVT), intravenous thrombolysis alone with large vessel occlusion (IVT-LVO), and intravenous thrombolysis alone without LVO (IVT-nonLVO). Patients were classified using 6 separate mismatch criteria: PIM-using ..

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University of Melbourne Researchers