Interaction Should Guide Management Decisions

摘要

It is with great interest that we read the recent article by Jadhav et al concerning subgroup assessments in the SWIFT PRIME trial, especially for collateral status. They reported, “Outcomes stratified by collateral status had a benefit with thrombectomy across all groups: none-to-fair collaterals (33% versus 0%), good collaterals (58% versus 44%), and excellent collaterals (82% versus 28%).” They also reported, “A beneficial effect of endovascular therapy was observed over IV tPA alone across all levels of collateral flow, with the greatest effect in patients with excellent collaterals (82% versus 28%, = .008).”