Procedure-related vasospasm and reperfusion vulnerability during mechanical thrombectomy

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Mechanical thrombectomy (MT) is established as standard care for acute ischemic stroke but does not always ensure neurological recovery.
2

Vasospasm during endovascular thrombectomy (EVT) is often viewed as a transient complication but may indicate a broader reperfusion-failure state.
3

Procedure-related vasospasm is linked to technically demanding thrombectomy procedures and may predict less favorable outcomes.
4

Intra-arterial vasodilators, like PDE3 inhibitors, could influence tissue perfusion and warrant further investigation in EVT.
5

Current studies have not validated angiographic vasospasm as a reliable marker for microvascular no-reflow during EVT.

Frontiers In Neurology

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