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  • Correspondence on the article ‘‘Endovascular treatment versus medical management for mild stroke with acute anterior circulation large vessel occlusion: a meta-analysis’’

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Correspondence on the article ‘‘Endovascular treatment versus medical management for mild stroke with acute anterior circulation large vessel occlusion: a meta-analysis’’
  1. Kuan-Chih Chen1,2,
  2. Po-Huang Chen3,
  3. Hong-Jie Jhou2,4
  1. 1 Department of Emergency and Critical Care Medicine, Changhua Christian Hospital, Changhua, Taiwan
  2. 2 School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
  3. 3 Division of Hematology and Oncology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Cente, Taipei, Taiwan
  4. 4 Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan
  1. Correspondence to Dr Hong-Jie Jhou; xsai4295{at}gmail.com; Dr Po-Huang Chen; chenpohuang{at}hotmail.com

https://doi.org/10.1136/jnis-2024-021514

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    We read with great interest the meta-analysis by Qin et al 1 regarding the efficacy of endovascular treatment (EVT) in patients with acute anterior circulation large vessel occlusion and low National Institutes of Health Stroke Scale (NIHSS) scores. The study presents pivotal insights but also raises crucial concerns that we wish to address for a more nuanced understanding.

    First, the study’s approach towards differentiating primary EVT from rescue EVT requires more precision. In the context of acute stroke management, these two interventions have distinct indications and outcomes. For example, in the study by Kim et al,2 the conflation of these two distinct types of EVT potentially confounds the results. In patients …

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    Footnotes

    • Contributors K-CC collected data. H-JJ designed the study. K-CC analyzed the data. K-CC drafted the manuscript and interpreted data. H-JJ, P-HC critically reviewed and edited the manuscript. All authors reviewed and edited the manuscript and approved the final version of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

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