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KMID : 1034720180100020095
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Journal of Neurosonology and Neuroimaging
2018 Volume.10 No. 2 p.95 ~ p.99
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Thrombolysis in Cerebral Infarction Scoring at the Core Lab
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Almekhlafi Mohammed A.
Goyal Mayank
Marquering Henk A.
Majoie Charles B.
Liebeskind David S.
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Abstract
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The success of endovascular thrombectomy (EVT) procedure centers on achieving fast and complete reperfusion. Angiographic assessment of reperfusion was originally reported using the Thrombolysis in Cerebral Infarction (TICI) scoring published in 2003. Since then, the TICI scoring underwent multiple modifications leading to different interpretations which negatively impacted its reliability. We discuss the implications and nuances of unifying angiographic reporting using the expanded TICI (eTICI) scoring system which was used to report the angiographic images of patients enrolled in the Highly Effective Reperfusion Evaluated in Multiple Endovascular Stroke Trials collaboration. We propose the use of this eTICI scoring as a reference in core labs of future EVT trials and in clinical practice. We also discuss solutions to help to bridge the gap that currently exists due to the different interpretations of the TICI score. Unified reporting of the angiographic outcome of EVT procedures is paramount to advancing the field and improving the understanding of predictors of functional outcome especially with the current high rates of successful reperfusion.
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KEYWORD
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Strokes, Thrombectomies, Reperfusion, Ischemia
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