Striving for the Best: How Far Should We Go? Regarding Impact of Modified TICI 3 versus Modified TICI 2b Reperfusion Score to Predict Good Outcome following Endovascular Therapy

摘要

Endovascular thrombectomy has become a valuable part of the treatment of patients with an acute large vessel occlusion in the anterior circulation. High rates of quality reperfusion after endovascular thrombectomy were considered a key element for achieving superior functional outcomes compared with sole medical treatment with IV rtPA.1 Because a reperfusion grade of TICI 2b or better has been shown to be a precise and reliable predictor of good functional outcomes, TICI 2b and 3 are conventionally considered as “successful reperfusion.”2 In their highly relevant article, Dargazanli et al3 provided further evidence that the outcomes of patients with “complete” (TICI 3) reperfusions are significantly better as opposed to patients with “near complete” (TICI 2b) reperfusions.4