Systemic immune-inflammation index predicts post-thrombectomy outcomes and reveals a mediating role in the association between neurocardiac stress and prognosis: a multicenter study - Takeaways - MDSpire

Systemic immune-inflammation index predicts post-thrombectomy outcomes and reveals a mediating role in the association between neurocardiac stress and prognosis: a multicenter study

  • By

  • Long Yang

  • Han Zhao

  • Qingtao Xie

  • Qitong Chen

  • Yehong Liu

  • Hailiang Li

  • Jun Lu

  • Bo Du

  • Jiheng Hao

  • Jiyou Yu

  • Chao Sun

  • Yu Liu

  • Yujia Zhai

  • Haibing Liao

  • Yiming Yin

  • Hui Chen

  • Qiuchen Zhao

  • Yu Feng

  • May 29, 2026

  • 0 min

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  • 1

    The study investigates the Systemic Immune-Inflammation Index (SII) as a predictor of outcomes following endovascular thrombectomy (EVT) in stroke patients.

  • 2

    A total of 678 EVT patients were screened, with 515 forming the derivation cohort, revealing a 56.1% rate of poor outcomes.

  • 3

    Atrial fibrillation with rapid ventricular response (AF-RVR) was found to correlate with elevated SII, significantly increasing the risk of poor outcomes.

  • 4

    Mediation analysis indicated that SII significantly accounted for part of the association between AF-RVR and poor functional outcomes.

  • 5

    The developed nomogram integrating AF-RVR and SII demonstrated good discrimination and clinical utility for predicting post-EVT outcomes.

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