Review Article

Long-Term Outcomes of Mechanical Thrombectomy for Stroke: A Meta-Analysis

Table 2

Characteristics of intervention and control arms of included studies.

TrialIMS IIIMR CLEANREVASCATTotal

Intervention ArmITT patients, n434233103770
Stent retrieve device, n (%)14 (3)190 (82)98 (95)302 (39)
IA-tPA, n (%)266 (61)24 (10)0 (0)290 (38)
IV-tPA, n (%)434 (100)203 (87)70 (68)707 (92)
Mean/median NIHSS score171717
Mean/median ASPECTSNA97
Mean/median age, y6965.865.7
LVO, n (%)190 (44)233 (100)103 (100)526 (68)
GA, n (%)NR88 (38)7 (7)95 (28)
Mean/median time from onset to groin puncture, min208260269
Median time from onset to randomization, min (IQR)NR204 (152-251)223 (170-312)

Control ArmITT patients, n222267103592
IV-tPA, n (%)222 (100)242 (91)80 (78)544 (92)
Mean/median NIHSS score161817
Mean/median ASPECTSNA98
Mean/median age, y6865.767.2
LVO, n (%)92 (41)267 (100)103 (100)462 (78)
Mean/median time to tPA, min121.287105
Median time from onset to randomization, min (IQR)NR196 (149-266)226 (168-308)

ASPECTS is Alberta Stroke Program Early CT score; GA is general anesthesia; IA is intra-arterial; ITT is intention-to-treat; LVO is large vessel occlusion; NA is not applicable; NR is not reported; tPA is tissue plasminogen activator.
After 284 patients had undergone randomization, identification of occlusion with CT angiography could determine trial eligibility for patients with NIHSS score of 8 or 9.
Randomization was required within 40 minutes after the initiation of the tPA infusion.