16 results on '"Ganimede, Maria P"'
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2. A Case of Mediastinal Schwannoma Mimicking Subcarinal Lymphadenopathy in Concomitant Lung Adenocarcinoma
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Palmiotti, Giuseppe A., Napoli, Grazia, Ganimede, Maria P., Semeraro, Vittorio, Pirrelli, Michele, and D’Alagni, Giancarlo
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- 2023
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3. Woven EndoBridge Device for Unruptured Wide-Neck Bifurcation Aneurysm: A Multicenter 5-Year Follow-up.
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Semeraro, Vittorio, Palmisano, Vitanio, Limbucci, Nicola, Comelli, Simone, Comelli, Chiara, Ganimede, Maria Porzia, Lozupone, Emilio, Barone, Michele, Marrazzo, Antonio, Paladini, Andrea, della Malva, Giuseppina, Briatico Vangosa, Alessandra, Laiso, Antonio, Renieri, Leonardo, Capasso, Francesco, Gandini, Roberto, Di Stasi, Carmine, Resta, Maurizio, Mangiafico, Salvatore, and Burdi, Nicola
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- 2024
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4. Predictors of parenchymal hematoma and clinical outcome after mechanical thrombectomy in patients with large ischemic core due to large vessel occlusion: a retrospective multicenter study
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Alexandre, Andrea M, primary, Scarcia, Luca, additional, Brunetti, Valerio, additional, Scala, Irene, additional, Kalsoum, Erwah, additional, Valente, Iacopo, additional, Camilli, Arianna, additional, De Leoni, Davide, additional, Colò, Francesca, additional, Frisullo, Giovanni, additional, Piano, Mariangela, additional, Rollo, Claudia, additional, Macera, Antonio, additional, Ruggiero, Maria, additional, Lafe, Elvis, additional, Gabrieli, Joseph D, additional, Cester, Giacomo, additional, Limbucci, Nicola, additional, Arba, Francesco, additional, Ferretti, Simone, additional, Da Ros, Valerio, additional, Bellini, Luigi, additional, Salsano, Giancarlo, additional, Mavilio, Nicola, additional, Russo, Riccardo, additional, Bergui, Mauro, additional, Caragliano, Antonio A, additional, Vinci, Sergio L, additional, Romano, Daniele G, additional, Frauenfelder, Giulia, additional, Semeraro, Vittorio, additional, Ganimede, Maria P, additional, Lozupone, Emilio, additional, Romi, Andrea, additional, Cavallini, Anna, additional, Milonia, Luca, additional, Muto, Massimo, additional, Giordano, Flavio, additional, Cirillo, Luigi, additional, Calabresi, Paolo, additional, Pedicelli, Alessandro, additional, and Broccolini, Aldobrando, additional
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- 2023
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5. Effect of General Anesthesia versus Conscious Sedation/Local Anesthesia on the Outcome of Patients with Minor Stroke and Isolated M2 Occlusion Undergoing Immediate Thrombectomy: A Retrospective Multicenter Matched Analysis
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Valente, Iacopo, primary, Alexandre, Andrea M., additional, Colò, Francesca, additional, Brunetti, Valerio, additional, Frisullo, Giovanni, additional, Camilli, Arianna, additional, Falcou, Anne, additional, Scarcia, Luca, additional, Gigli, Riccardo, additional, Scala, Irene, additional, Rizzo, Pier A., additional, Abruzzese, Serena, additional, Milonia, Luca, additional, Piano, Mariangela, additional, Macera, Antonio, additional, Ruggiero, Maria, additional, Da Ros, Valerio, additional, Bellini, Luigi, additional, Lazzarotti, Guido A., additional, Cosottini, Mirco, additional, Caragliano, Antonio A., additional, Vinci, Sergio L., additional, Gabrieli, Joseph D., additional, Causin, Francesco, additional, Panni, Pietro, additional, Roveri, Luisa, additional, Limbucci, Nicola, additional, Arba, Francesco, additional, Renieri, Leonardo, additional, Ferretti, Simone, additional, Pileggi, Marco, additional, Bianco, Giovanni, additional, Romano, Daniele G., additional, Frauenfelder, Giulia, additional, Semeraro, Vittorio, additional, Ganimede, Maria P., additional, Lozupone, Emilio, additional, Fasano, Antonio, additional, Lafe, Elvis, additional, Cavallini, Anna M., additional, Mazzacane, Federico, additional, Russo, Riccardo, additional, Bergui, Mauro, additional, Broccolini, Aldobrando, additional, and Pedicelli, Alessandro, additional
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- 2023
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6. Early neurological deterioration in patients with minor stroke due to isolated M2 occlusion undergoing medical management: a retrospective multicenter study
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Broccolini, Aldobrando, Brunetti, Valerio, Colò, Francesca, Alexandre, Andrea M, Valente, Iacopo, Falcou, Anne, Frisullo, Giovanni, Pedicelli, Alessandro, Scarcia, Luca, Scala, Irene, Rizzo, Pier Andrea, Bellavia, Simone, Camilli, Arianna, Milonia, Luca, Piano, Mariangela, Macera, Antonio, Commodaro, Christian, Ruggiero, Maria, Da Ros, Valerio, Bellini, Luigi, Lazzarotti, Guido A, Cosottini, Mirco, Caragliano, Armando A, Vinci, Sergio L, Gabrieli, Joseph D, Causin, Francesco, Panni, Pietro, Roveri, Luisa, Limbucci, Nicola, Arba, Francesco, Pileggi, Marco, Bianco, Giovanni, Romano, Daniele G, Frauenfelder, Giulia, Semeraro, Vittorio, Ganimede, Maria P, Lozupone, Emilio, Fasano, Antonio, Lafe, Elvis, Cavallini, Anna, Russo, Riccardo, Bergui, Mauro, Calabresi, Paolo, and Della Marca, Giacomo
- Abstract
BackgroundPatients with minor stroke and M2 occlusion undergoing best medical management (BMM) may face early neurological deterioration (END) that can lead to poor long-term outcome. In case of END, rescue mechanical thrombectomy (rMT) seems beneficial. Our study aimed to define factors relevant to clinical outcome in patients undergoing BMM with the possibility of rMT on END, and find predictors of END.MethodsPatients with M2 occlusion and a baseline National Institutes of Health Stroke Scale (NIHSS) score≤5 that received either BMM only or rMT on END after BMM were extracted from the databases of 16 comprehensive stroke centers. Clinical outcome measures were a 90-day modified Rankin Scale (mRS) score of 0–1 or 0–2, and occurrence of END.ResultsAmong 10 169 consecutive patients with large vessel occlusion admitted between 2016 and 2021, 208 patients were available for analysis. END was reported in 87 patients that were therefore all subjected to rMT. In a logistic regression model, END (OR 3.386, 95% CI 1.428 to 8.032), baseline NIHSS score (OR 1.362, 95% CI 1.004 to 1.848) and a pre-event mRS score=1 (OR 3.226, 95% CI 1.229 to 8.465) were associated with unfavorable outcome. In patients with END, successful rMT was associated with favorable outcome (OR 4.549, 95% CI 1.098 to 18.851). Among baseline clinical and neuroradiological features, presence of atrial fibrillation was a predictor of END (OR 3.547, 95% CI 1.014 to 12.406).ConclusionPatients with minor stroke due to M2 occlusion and atrial fibrillation should be closely monitored for possible worsening during BMM and, in this case, promptly considered for rMT.
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- 2024
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7. Mechanical thrombectomy in minor stroke due to isolated M2 occlusion: a multicenter retrospective matched analysis
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Alexandre, Andrea M, primary, Colò, Francesca, additional, Brunetti, Valerio, additional, Valente, Iacopo, additional, Frisullo, Giovanni, additional, Pedicelli, Alessandro, additional, Scarcia, Luca, additional, Rollo, Claudia, additional, Falcou, Anne, additional, Milonia, Luca, additional, Andrighetti, Marco, additional, Piano, Mariangela, additional, Macera, Antonio, additional, Commodaro, Christian, additional, Ruggiero, Maria, additional, Da Ros, Valerio, additional, Bellini, Luigi, additional, Lazzarotti, Guido A, additional, Cosottini, Mirco, additional, Caragliano, Armando A, additional, Vinci, Sergio L, additional, Gabrieli, Joseph D, additional, Causin, Francesco, additional, Panni, Pietro, additional, Roveri, Luisa, additional, Limbucci, Nicola, additional, Arba, Francesco, additional, Pileggi, Marco, additional, Bianco, Giovanni, additional, Romano, Daniele G, additional, Diana, Francesco, additional, Semeraro, Vittorio, additional, Burdi, Nicola, additional, Ganimede, Maria P, additional, Lozupone, Emilio, additional, Fasano, Antonio, additional, Lafe, Elvis, additional, Cavallini, Anna, additional, Russo, Riccardo, additional, Bergui, Mauro, additional, Calabresi, Paolo, additional, Della Marca, Giacomo, additional, and Broccolini, Aldobrando, additional
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- 2022
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8. A Case of Mediastinal Schwannoma Mimicking Subcarinal Lymphadenopathy in Concomitant Lung Adenocarcinoma
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Palmiotti, Giuseppe A., primary, Napoli, Grazia, additional, Ganimede, Maria P., additional, Semeraro, Vittorio, additional, Pirrelli, Michele, additional, and D’Alagni, Giancarlo, additional
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- 2022
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9. In Reply: Clinical Impact and Predictors of Aneurysmal Rebleeding in Poor-Grade Subarachnoid Hemorrhage: Results From the National POGASH Registry
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Panni, Pietro, Ambrosi, Alessandro, Riccio, Lucia, Cao, Roberta, Alessandra Barzaghi, Lina Raffaella, Da Passano, Camillo Ferrari, Donofrio, Carmine Antonio, Albano, Luigi, Simionato, Franco, Scomazzoni, Francesco, Caterina, Michelozzi, Anzalone, Nicoletta, Dell’Acqua, Antonio, Calvi, Maria Rosa, Cozzi, Silvano, Azzolini, Maria Luisa, Zotti, Margherita, Pedicelli, Alessandro, Marchese, Enrico, Caricato, Anselmo, Alexandre, Andrea, Valente, Iacopo, Di Bonaventura, Rina, Grilli, Fulvio, Scavone, Angela, Pisapia, Luca, Gelormini, Camilla, Feletti, Alberto, Testa, Mattia, Zanatta, Paolo, Mauro, Luigi, Liviero, Marilena Casartelli, Venza, Alessia, Robbi, Helena, Piva, Simone, Gitti, Nicola, Mardighian, Dikran, Latronico, Nicola, Rasulo, Frank A., Semeraro, Vittorio, Nardin, Giordano, Marrazzo, Antonio, Burdi, Nicola, Ganimede, Maria Porzia, Cacciapaglia, Michele, Lozupone, Emilio, Paiano, Gianfranco, Paladini, Adriana, Pauciulo, Alfredo, Mastria, Donatella, Pulito, Giuseppe, Picetti, Edoardo, Petranca, Massimo, Montanaro, Vito, Menozzi, Roberto, Cerasti, Davide, Giombelli, Ermanno, Bortolotti, Carlo, Scibilia, Nino, Cirillo, Luigi, Aspide, Raffaele, Castioni, Carlo Alberto, Lanterna, Andrea Luigi, Bernucci, Claudio, Costi, Emanuele, and Fanti, Andrea
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- 2023
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10. Mechanical thrombectomy in minor stroke due to isolated M2 occlusion: a multicenter retrospective matched analysis
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Alexandre, Andrea M, Colò, Francesca, Brunetti, Valerio, Valente, Iacopo, Frisullo, Giovanni, Pedicelli, Alessandro, Scarcia, Luca, Rollo, Claudia, Falcou, Anne, Milonia, Luca, Andrighetti, Marco, Piano, Mariangela, Macera, Antonio, Commodaro, Christian, Ruggiero, Maria, Da Ros, Valerio, Bellini, Luigi, Lazzarotti, Guido A, Cosottini, Mirco, Caragliano, Armando A, Vinci, Sergio L, Gabrieli, Joseph D, Causin, Francesco, Panni, Pietro, Roveri, Luisa, Limbucci, Nicola, Arba, Francesco, Pileggi, Marco, Bianco, Giovanni, Romano, Daniele G, Diana, Francesco, Semeraro, Vittorio, Burdi, Nicola, Ganimede, Maria P, Lozupone, Emilio, Fasano, Antonio, Lafe, Elvis, Cavallini, Anna, Russo, Riccardo, Bergui, Mauro, Calabresi, Paolo, Della Marca, Giacomo, and Broccolini, Aldobrando
- Abstract
BackgroundThe purpose of this study was to evaluate the effectiveness of mechanical thrombectomy (MT) in patients with isolated M2 occlusion and minor symptoms and identify possible baseline predictors of clinical outcome.MethodsThe databases of 16 high-volume stroke centers were retrospectively screened for consecutive patients with isolated M2 occlusion and a baseline National Institutes of Health Stroke Scale (NIHSS) score ≤5 who received either early MT (eMT) or best medical management (BMM) with the possibility of rescue MT (rMT) on early neurological worsening. Because our patients were not randomized, we used propensity score matching (PSM) to estimate the treatment effect of eMT compared with the BMM/rMT. The primary clinical outcome measure was a 90-day modified Rankin Scale score of 0–1.Results388 patients were initially selected and, after PSM, 100 pairs of patients receiving eMT or BMM/rMT were available for analysis. We found no significant differences in clinical outcome and in safety measures between patients receiving eMT or BMM/rMT. Similar results were also observed after comparison between eMT and rMT. Concerning baseline predicting factors of outcome, the involvement of the M2 inferior branch was associated with a favorable outcome.ConclusionOur multicenter retrospective analysis has shown no benefit of eMT in minor stroke patients with isolated M2 occlusion over a more conservative therapeutic approach. Although our results must be viewed with caution, in these patients it appears reasonable to consider BMM as the first option and rMT in the presence of early neurological deterioration.
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- 2023
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11. Comparison of aspiration versus combined technique as first-line approach in terminal internal carotid artery occlusion: a multicenter experience
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Diana, Francesco, Vinci, Sergio Lucio, Ruggiero, Maria, Semeraro, Vittorio, Bracco, Sandra, Frauenfelder, Giulia, Paolucci, Aldo, Cirillo, Luigi, Pesce, Alessandro, Tessitore, Agostino, Commodaro, Christian, Ganimede, Maria Porzia, Zanoni, Matteo, Saponiero, Renato, Zini, Andrea, Velo, Mariano, Modello, Beatrice, Burdi, Nicola, Cioni, Samuele, Simonetti, Luigi, and Romano, Daniele Giuseppe
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BackgroundThere is no consensus on the most effective endovascular technique to use in patients with acute ischemic stroke due to terminal internal carotid artery (ICA) occlusion. The aim of this study was to compare safety and efficacy of the aspiration technique (AT) and combined technique (CT) as first-line approach in terminal ICA occlusions.MethodsWe performed a retrospective analysis of prospectively collected databases from seven Italian stroke centers. Patients were divided into two subgroups according to the first-line approach: AT group or CT group. We followed the STROBE guidelines for cohort studies. We used Chi-square test, one-way and multivariate ANOVA analysis, together with contrast analysis and post hoc tests, logistic regression and Pearson’s bivariate correlation for the statistical analyses.ResultsBetween January 2018 and August 2020, 353 patients were treated for a terminal ICA occlusion, with either AT or CT. CT was associated with a higher Thrombolysis in Cerebral Infarction (TICI) 2B-3 after the first pass (51.0% vs 26.9%) and at the end of the procedure (84% vs 73.3%) and with an improved clinical outcome at discharge (modified Rankin Scale (mRs) 0–2 of 47.8% vs 34.0%) and at 3 months’ follow-up (mRs 0–2 of 56.5% vs 38.9%) compared with AT.ConclusionThrombectomy of terminal ICA occlusions obtained using CT as first-line approach demonstrated better technical and functional outcomes in comparison with AT.
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- 2022
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12. General Anesthesia Versus Conscious Sedation and Local Anesthesia During Thrombectomy for Acute Ischemic Stroke
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Cappellari, Manuel, Pracucci, Giovanni, Forlivesi, Stefano, Saia, Valentina, Nappini, Sergio, Nencini, Patrizia, Inzitari, Domenico, Greco, Laura, Sallustio, Fabrizio, Vallone, Stefano, Bigliardi, Guido, Zini, Andrea, Pitrone, Antonio, Grillo, Francesco, Musolino, Rosa, Bracco, Sandra, Tinturini, Rebecca, Tassi, Rossana, Bergui, Mauro, Cerrato, Paolo, Saletti, Andrea, De Vito, Alessandro, Casetta, Ilaria, Gasparotti, Roberto, Magoni, Mauro, Castellan, Lucio, Malfatto, Laura, Menozzi, Roberto, Scoditti, Umberto, Causin, Francesco, Baracchini, Claudio, Puglielli, Edoardo, Casalena, Alfonsina, Ruggiero, Maria, Malatesta, Emanuele, Comelli, Chiara, Chianale, Gigliola, Lauretti, Dario Luca, Mancuso, Michelangelo, Lafe, Elvis, Cavallini, Anna, Cavasin, Nicola, Critelli, Adriana, Ciceri, Elisa Francesca Maria, Bonetti, Bruno, Chiumarulo, Luigi, Petruzzelli, Marco, Giorgianni, Andrea, Versino, Maurizio, Ganimede, Maria Porzia, Tinelli, Angelica, Auteri, Wiliam, Petrone, Alfredo, Guidetti, Giulio, Nicolini, Ettore, Allegretti, Luca, Tassinari, Tiziana, Filauri, Pietro, Sacco, Simona, Pavia, Marco, Invernizzi, Paolo, Nuzzi, Nunzio Paolo, Carmela Spinelli, Maria, Amistà, Pietro, Russo, Monia, Ferrandi, Delfina, Corraine, Simona, Craparo, Giuseppe, Mannino, Marina, Simonetti, Luigi, Toni, Danilo, and Mangiafico, Salvatore
- Abstract
Supplemental Digital Content is available in the text.
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- 2020
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13. Balloon-Assisted Tracking Plus Modified Dotter (BAT-mDOT) Technique for Tandem Acute Ischemic Stroke
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Semeraro, Vittorio, Ganimede, Maria Porzia, Marrazzo, Antonio, Palmisano, Vitanio, Gandini, Roberto, Stasi, Carmine Di, and Burdi, Nicola
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- 2023
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14. Comparison Between Three Commonly Used Large-Bore Aspiration Catheters in Terms of Successful Recanalization and First-Passage Effect.
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Semeraro, Vittorio, Valente, Iacopo, Trombatore, Pietro, Ganimede, Maria Porzia, Briatico, Alessandra, Di Stasi, Carmine, Burdi, Nicola, Boero, Giovanni, Prontera, Maria Pia, Gandini, Prof Roberto, Vidali, Sofia, Diomedi, Prof Marina, Sallustio, Fabrizio, D'Argento, Francesco, Alexandre, Andrea, Romi, Andrea, Pedicelli, Alessandro, Berardelli, Prof Alfredo, and Lozupone, Emilio
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Objectives: To compare three commonly used large-bore aspiration catheters in terms of final successful recanalization rate and first-passage successful and complete recanalization rates (the so called "first-passage effect").Materials and Methods: it is an observational retrospective multicenter study conducted in three Italian high-volume tertiary stroke centers between January 2017 and May 2019. The study population included all consecutive patients with an ischemic stroke due to middle cerebral artery occlusion (M1 segment only) that underwent intra-arterial mechanical thrombectomy with contact aspiration as first-line strategy within 24 hours from symptoms onset.Results: Three hundred twenty-one patients were included in the study. Multivariable logistic regression analysis comparing the three catheters revealed no differences in terms of successful recanalization. Sofia 6 Plus catheter was associated with better first-passage successful recanalization [OR, 9.09; 95% CI, 2.66-31.03] (p<0.001) and first-passage complete recanalization [OR: 3.73; 95% CI: 1.43-9.72] (p=0.007) whereas rt-PA was associated with worse first-passage recanalization [OR: 0.52; 95% CI: 0.29-0.93] (p=0.028).Conclusions: No differences between the three catheters were reported in terms of successful recanalization. Sofia 6 Plus has proven to be superior in achieving both successful and complete first-passage recanalization. Conversely, rt-PA was found to be a negative predicting factor of first-passage effect. [ABSTRACT FROM AUTHOR]- Published
- 2021
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15. Baseline clinical and neuroradiological predictors of outcome in patients with large ischemic core undergoing mechanical thrombectomy: A retrospective multicenter study.
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Alexandre AM, Monforte M, Brunetti V, Scarcia L, Cirillo L, Zini A, Scala I, Nardelli V, Arbia F, Arbia G, Frisullo G, Kalsoum E, Camilli A, De Leoni D, Colò F, Abruzzese S, Piano M, Rollo C, Macera A, Ruggiero M, Lafe E, Gabrieli JD, Cester G, Limbucci N, Arba F, Ferretti S, Da Ros V, Bellini L, Salsano G, Mavilio N, Russo R, Bergui M, Caragliano AA, Vinci SL, Romano DG, Frauenfelder G, Semeraro V, Ganimede MP, Lozupone E, Romi A, Cavallini A, Milonia L, Muto M, Candelaresi P, Calabresi P, Pedicelli A, and Broccolini A
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- Humans, Male, Retrospective Studies, Female, Aged, Treatment Outcome, Middle Aged, Aged, 80 and over, Brain Ischemia surgery, Brain Ischemia diagnostic imaging, Severity of Illness Index, Thrombectomy methods, Ischemic Stroke surgery, Ischemic Stroke diagnostic imaging, Ischemic Stroke therapy
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Background: Recent randomized trials have shown the benefit of mechanical thrombectomy (MT) also in patients with an established large ischemic core., Aims: The purpose of this study was to define baseline predictors of clinical outcome in patients with large vessel occlusion (LVO) in the anterior circulation and an Alberta Stroke Program Early CT score (ASPECTS) ⩽ 5, undergoing MT., Material and Methods: The databases of 16 comprehensive stroke centers were retrospectively screened for patients with LVO and ASPECTS ⩽5 that received MT. Baseline clinical and neuroradiological features, including the differential contribution of all ASPECTS regions to the composite score, were collected. Primary clinical outcome measure was a 90-day modified Rankin Scale (mRS) score of 0-2. Statistical analysis used a logistic regression model and random forest algorithm., Results: A total of 408 patients were available for analysis. In multivariate model, among baseline features, lower age (odd ratio (OR) = 0.962, 95% confidence interval (CI) = 0.943-0.982) and lower National Institute of Health Stroke Scale (NIHSS) score (OR = 0.911, 95% CI = 0.862-0.963) were associated with the mRS score 0-2. Involvement of the M2 (OR = 0.398, 95% CI = 0.206-0.770) or M4 (OR = 0.496, 95% CI = 0.260-0.945) ASPECTS regions was associated with an unfavorable outcome. Random forest analysis confirmed that age and baseline NIHSS score are the most important variables influencing clinical outcome, whereas involvement of cortical regions M5, M4, M2, and M1 can have a negative impact., Conclusion: Our retrospective analysis shows that, along with age and baseline clinical impairment, presence of early ischemic changes involving cortical areas has a role in clinical outcome in patients with large ischemic core undergoing MT., Data Access Statement: The data that support the findings of this study are available upon reasonable request., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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- 2024
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16. Early neurological deterioration in patients with minor stroke due to isolated M2 occlusion undergoing medical management: a retrospective multicenter study.
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Broccolini A, Brunetti V, Colò F, Alexandre AM, Valente I, Falcou A, Frisullo G, Pedicelli A, Scarcia L, Scala I, Rizzo PA, Bellavia S, Camilli A, Milonia L, Piano M, Macera A, Commodaro C, Ruggiero M, Da Ros V, Bellini L, Lazzarotti GA, Cosottini M, Caragliano AA, Vinci SL, Gabrieli JD, Causin F, Panni P, Roveri L, Limbucci N, Arba F, Pileggi M, Bianco G, Romano DG, Frauenfelder G, Semeraro V, Ganimede MP, Lozupone E, Fasano A, Lafe E, Cavallini A, Russo R, Bergui M, Calabresi P, and Della Marca G
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- Humans, Thrombectomy adverse effects, Treatment Outcome, Retrospective Studies, Atrial Fibrillation complications, Atrial Fibrillation therapy, Stroke diagnostic imaging, Stroke etiology, Stroke therapy, Brain Ischemia etiology
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Background: Patients with minor stroke and M2 occlusion undergoing best medical management (BMM) may face early neurological deterioration (END) that can lead to poor long-term outcome. In case of END, rescue mechanical thrombectomy (rMT) seems beneficial. Our study aimed to define factors relevant to clinical outcome in patients undergoing BMM with the possibility of rMT on END, and find predictors of END., Methods: Patients with M2 occlusion and a baseline National Institutes of Health Stroke Scale (NIHSS) score≤5 that received either BMM only or rMT on END after BMM were extracted from the databases of 16 comprehensive stroke centers. Clinical outcome measures were a 90-day modified Rankin Scale (mRS) score of 0-1 or 0-2, and occurrence of END., Results: Among 10 169 consecutive patients with large vessel occlusion admitted between 2016 and 2021, 208 patients were available for analysis. END was reported in 87 patients that were therefore all subjected to rMT. In a logistic regression model, END (OR 3.386, 95% CI 1.428 to 8.032), baseline NIHSS score (OR 1.362, 95% CI 1.004 to 1.848) and a pre-event mRS score=1 (OR 3.226, 95% CI 1.229 to 8.465) were associated with unfavorable outcome. In patients with END, successful rMT was associated with favorable outcome (OR 4.549, 95% CI 1.098 to 18.851). Among baseline clinical and neuroradiological features, presence of atrial fibrillation was a predictor of END (OR 3.547, 95% CI 1.014 to 12.406)., Conclusion: Patients with minor stroke due to M2 occlusion and atrial fibrillation should be closely monitored for possible worsening during BMM and, in this case, promptly considered for rMT., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2023
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