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ORIGINAL RESEARCH INTERVENTIONAL Posttreatment Infarct Volumes when Compared with 24-Hour and 90-Day Clinical Outcomes: Insights from the REVASCAT Randomized Controlled Trial X F.S. Al-Ajlan, X A.S. Al Sultan, X P. Minhas, X Z. Assis, X M.A. de Miquel, X M. Milla´n, X L. San Roma´n, X A. Tomassello, X A.M. Demchuk, X T.G. Jovin, X P. Cuadras, X A. Da´valos, X M. Goyal, and X B.K. Menon; for the REVASCAT Investigators ABSTRACT BACKGROUND AND PURPOSE: Endovascular therapy has become the standard of care for patients with disabling anterior circulation ischemic stroke due to proximal intracranial thrombi. Our aim was to determine whether the beneficial effect of endovascular treatment on functional outcome could be explained by a reduction in posttreatment infarct volume in the Endovascular Revascularization With Solitaire Device Versus Best Medical Therapy in Anterior Circulation Stroke Within 8 Hours (REVASCAT) trial. MATERIALS AND METHODS: The REVASCAT trial was a multicenter randomized open-label trial with blinded outcome evaluation. Among 206 enrolled subjects (endovascular treatment, n 103; control, n 103), posttreatment infarct volume was measured in 204 subjects. Posttreatment infarct volumes were compared with treatment assignment and recanalization status. Appropriate statistical models were used to assess the relationship among
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: Jan 1, 2018
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