1naresh
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Total (n = 91) Distal Embolization (n = 15) No Distal Embolization (n = 76) P Value Mean age (years) 67 ± 15 60 ± 13 68 ± 16 .16 Male/female 48 (53%) 6 (40%) 45 (59%) .28 Occlusion site .58 MCA 48 (53%) 6 (40%) 42 (55%) ICA 29 (32%) 6 (40%) 23 (30%) ACA 2 (3%) 0 (0%) 2 (3%) BA 12 (13%) 3 (20%) 9 (12%) Study protocol* .00 Group 1 47 (52%) 2 (13%) 45 (59%) Group 2 12 (13%) 6 (40%) 6 (8%) Group 3 19 (21%) 4 (27%) 15 (20%) Group 4 13 (14%) 3 (20%) 10 (13%) Mean time to treatment (hours) 4.36 ± 2.18 4.59 ± 3.13 4.31 ± 1.97 .14 Initial Qureshi grade 0–3B 53 (58%) 6 (40%) 47 (62%) .12 Initial Qureshi grade 4A-5 38 (42%) 9 (60%) 29 (38%) Final recanalization† .48 None 19 (21%) 2 (13%) 17 (22%) Partial 41 (45%) 8 (50%) 33 (43%) Complete 29 (32%) 3 (19%) 26 (34%) Symptomatic ICH (No., %) 10 3 (21)c 6 (8) .12 Median initial NIHSS score 19 (±8) 19 (±8) 19 (±8) .98 Mean 24-hour NIHSS score 18 ± 13 24 (±15) 17 (±12) .07 Mean 7-day NIHSS score 18 ± 16 21 (±17) 18 (±16) .46 Favorable 1- to 3-month mRS‡ (No., %) 29 (32%) 2 (13%) 27 (36%) .09 Favorable 1–3 mRS at 1–3 months among treatment responders§ 24/70 (34%) 23/24 (96%) 1/11 (9%) .05
Note:—MCA indicates middle cerebral artery; ICA, internal carotid artery; ACA, anterior cerebral artery; BA, basilar artery; ICH, intracerebral hemorrhage; NIHSS, National Institutes of Health Stroke Scale; mRS, modified Rankin Score.
* Group 1, IA reteplase and MDT; group 2, EKOS MicroLysUS North American trial; group 3, MDT following IV thrombolysis; group 4, IA reteplase and IV abciximab (FDA IND 9180).
† Defined as ≤ 2.
‡ Data were missing for 1 patient.
§ Patients who never demonstrated recanalization were excluded from the analysis.