Need for Recanalization Strategies Reinforced in P1 and P2: PCA Stroke Poor Outcomes
International Journal of Stroke (IJS) shared a reminding post on X:
”Poor outcome at 3-months is frequent in acute stroke patients with P1 and P2 occlusion.”
Read the full article here.
Flashbacks on stroke management in the ‘Predictors of poor outcome in acute stroke patients with posterior cerebral artery occlusion and medical management‘ article by Candice Sabben et al.
A kind reminder, do not miss recanalization!
In patients with acute ischemic stroke due to isolated proximal posterior cerebral artery (PCA) occlusion, poor 3-month functional outcomes remain frequent under medical management alone.
This cohort study highlights that over half of patients treated without reperfusion therapies experienced unfavorable outcomes.
Clinical and radiological predictors of poor recovery were identified, underscoring the need for optimized treatment strategies.
Greater use of intravenous thrombolysis (IVT) and future therapies focused on improving recanalization and minimizing hemorrhagic transformation warrant investigation in prospective trials.

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