ArticleFrontiers in aging neuroscience2026
Risk score for futile recanalization: integrating cerebral circulation time and collateral cascade.
Article in Frontiers in aging neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
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6 authors.
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Abstract
Introduction: Impaired microvascular reperfusion despite successful recanalization may contribute to futile recanalization (FR) following thrombectomy. By combining cerebral circulation time (CCT) and cerebral collateral cascade (CCC) to evaluate hemodynamic and microcirculatory disturbances, we aim to develop and validate a new comprehensive prognostic model to predict FR after thrombectomy. Methods: This retrospective cohort study involved a thorough analysis of perfusion and collateral status (CCT and CCC) in consecutive acute ischemic stroke (AIS) patients presented with large vessel occlusion who underwent thrombectomy and achieved successful recanalization between January 2022 and December 2024. Independent predictors of FR were obtained from the least absolute shrinkage and selection operator regression and multivariable logistic regression. A nomogram model was constructed, and its discrimination and calibration were assessed. Results: This study included 182 patients, of whom 73 (40.11%) suffered from FR. Feature importance identified ischemic core volume (OR 1.01, 95% CI 1.00-1.03, Conclusion: The new prognostic model provides a valuable tool for predicting FR, thereby improving individualized stroke management.
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