Thrombectomy vs. medical management for large vessel occlusion strokes with minimal symptoms

Patients with acute ischemic stroke (AIS) presenting mild symptoms a low National Institutes of Health Stroke Scale (NIHSS) score ≤8 and also found to have an intracranial large vessel occlusion (LVO) undergo endovascular thrombolysis (ET) or medical management alone. The current study aimed evaluate the safety effectiveness vs. ET therapy among patients AIS (NIHSS ≤8) accompanied by LVO. present meta‑analysis included articles involving AIS, LVO, thrombectomy/ET alone published in full‑text form (from 1980 2022). Collected variables included: First author name, covered period, publication year, total number age, males, presence diabetes mellitus, hypertension, atrial fibrillation, prior stroke, location, NIHSS admission, modified Rankin scale, bleeding, morbidity mortality. After initial search applying all exclusion inclusion criteria, eight were left final article pool. who underwent was 569, compared 1097 for LVO strokes minimal symptoms. findings point out that may be associated high risk bleeding mortality ≤8).