Predicting Outcomes on the Stroke Checkerboard
Kevin S. Attenhofer, MD
Le Bouc R, Clarençon F, Meseguer E, Lapergue B, Consoli A, Turc G, et al. Efficacy of Endovascular Therapy in Acute Ischemic Stroke Depends on Age and Clinical Severity. Stroke. 2018
Today, we are seeing a more and more expanded role of endovascular therapy (EVT) in acute ischemic stroke. Despite the ever-growing body of research describing indications for EVT, we continually see patients in practice who do not “fit the mold” of the various trials’ inclusion criteria. Weighing heavily on many stroke practitioners is how to best approach and manage the patient with an apparent large vessel occlusion with a mild corresponding clinical syndrome. How can we predict if these patients will incur more benefit or risk from EVT? While some clinical trials are pending, this observational study describes a prediction score based on age and stroke severity which they called the Stroke Checkerboard (SC) score.