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Success reperfusion remains a strong predictor of favourable outcome and reduced mortality in ischemic stroke patients with parenchymal haematoma post endovascular treatment: an international multi-centre cohort study

by Yeo, Leonard , Xiao, Xiao , Jing, Mingxue , Garg, Apar , He, Yihua , Lai, Yuzheng , Yang, Cunli , Chen, Lue , Gopinathan, Anil , Tan, Benjamin YQ , Zhou, Yongting , Dai, Yibei , Peng, Wenhong , Feng, Mingzhu , Zhou, Sijie , Lee, Keng Siang , Pan, Suyue , Nguyen, Thanh N , Chen, Yimin , Mofatteh, Mohammad , Sia, Ching-Hui , Xu, Zunbao , Siow, Isabel , Zin, May , Teoh, Hock Luen , Ma, Jicai

in Cardiac arrhythmia / Cardiovascular disease / Cardiovascular system / Cohort analysis / Coronary vessels / Diabetes / Hematoma / Hemorrhage / Hypertension / Ischemia / Mortality / Patients / Reperfusion / Stroke / Thrombolytic drugs / Vein & artery diseases

2026

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Journal Article

Success reperfusion remains a strong predictor of favourable outcome and reduced mortality in ischemic stroke patients with parenchymal haematoma post endovascular treatment: an international multi-centre cohort study

Yeo, Leonard,

Xiao, Xiao,

Jing, Mingxue,

Garg, Apar,

He, Yihua,

Lai, Yuzheng,

Yang, Cunli,

Chen, Lue,

Gopinathan, Anil,

Tan, Benjamin YQ,

Zhou, Yongting,

Dai, Yibei,

Peng, Wenhong,

Feng, Mingzhu,

Zhou, Sijie,

Lee, Keng Siang,

Pan, Suyue,

Nguyen, Thanh N,

Chen, Yimin,

Mofatteh, Mohammad,

Sia, Ching-Hui,

Xu, Zunbao,

Siow, Isabel,

Zin, May,

Teoh, Hock Luen,

Ma, Jicai

2026

Overview

IntroductionParenchymal haematoma (PH) is a potentially serious complication post endovascular treatment (EVT) and is associated with poor functional outcomes. It is unknown if modifiable factors can improve the outcomes of patients with PH. This study aimed to determine whether successful reperfusion is associated with favourable outcome in patients with ischemic stroke despite this complication.Methods In an international multi-centre study, favourable outcomes (mRS0-2) of patients achieving successful reperfusion (TICI 2b/3) were compared with outcomes of those with unsuccessful reperfusion. Results 346 patients were included in the final analysis. 36 patients had unsuccessful reperfusion (10.4%) while 310 had successful reperfusion (89.6%). Amongst patients with PH post-EVT, successful reperfusion conferred better 3-month favourable outcomes (20.32% vs 5.56%; p=0.032) and lower mortality rates (40.32% vs 72.22%; p <0.001) compared with patients who had unsuccessful reperfusion. Conclusion Successful reperfusion remains a strong predictor of favourable outcome and reduced mortality in ischemic stroke patients with parenchymal haematoma post endovascular treatment.

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Publisher

Springer Nature B.V

Subject

Cardiac arrhythmia

/ Cardiovascular disease

/ Cardiovascular system