ANGEL-ASPECT

Trial of Endovascular Therapy for Acute Ischemic Stroke with Large Infarct

Patient / Population Intervention / Exposition Vergleich Endpunkt

In 456 Chinese patients with LVO and large ischaemic core, endovascular therapy improved the 90-day mRS distribution versus medical management.

N
456
Design
Multicentre RCT, China
Endpunkt
mRS shift at 90 days
Relevanz
3
ErgebnisGeneralised OR 1.37 (95% CI 1.11–1.69; p=0.004); mRS 0–2 30.0% vs 11.6%.
Huo X, et al. N Engl J Med. 2023;388(14):1272-1283. 10.1056/NEJMoa2213379
Diskussion & Kritik

Confirms SELECT2 — large-core trials redefine the lower limit of viable tissue.