Elena Zapata-Arriaza, MD
Broocks G, Kniep H, Schramm P, Hanning U, Flottmann F, Faizy T, et al. Patients with low Alberta Stroke Program Early CT Score (ASPECTS) but good collaterals benefit from endovascular recanalization. J Neurointerv Surg. 2019.
The primary therapeutic target of mechanical thrombectomy defined by the salvageable tissue at risk is minimized in patients with low Alberta Stroke Program Early CT Score (ASPECTS). In contrast, the risk of developing malignant infarctions is maximized in patients with a large early ischemic core, which can lead to severe complications by progressive ischemic edema within the first days after stroke onset. Low ASPECTS (≤5) still represents a limitation for stroke thrombectomy performance. But what happens in those patients with low ASPECTS and good collaterals after endovascular treatment? Do these cases have the potential to achieve good functional results? Broocks and colleagues have employed these questions as the starting point in the present paper.