Outcomes | SVS– (n=52) | SVS+ (n=165) | Effect size | Study-adjusted | Fully adjusted | ||
Values (95% CI) | P Values | Values (95% CI)* | P Values* | ||||
Angiographic outcomes | |||||||
Reperfusion at end of procedure | |||||||
mTICI 3 | 20/52 (38.5) | 53/165 (32.1) | OR | 0.95 (0.48 to 1.86) | 0.88 | 0.96 (0.45 to 2.06) | 0.92 |
mTICI 2b/3 | 42/52 (80.8) | 133/165 (80.6) | OR | 1.34 (0.59 to 3.17) | 0.47 | 1.31 (0.51 to 3.38) | 0.58 |
Clinical outcomes | |||||||
mRS score at 3 months | 3 (1 to 5)† | 2 (1 to 4)† | Common OR‡ | 2.26 (1.27 to 4.03) | 0.005 | 2.75 (1.44 to 5.26) | 0.002 |
Favorable outcome at 3 months | 23/52 (44.2) | 98/165 (59.4) | OR | 2.03 (1.06 to 3.91) | 0.034 | 2.76 (1.18 to 6.45) | 0.019 |
Change in NIHSS at 24 hours§ | −3.1 (−5.6 to −0.6)¶ | −6.3 (−7.7 to −5.0)¶ | Mean difference** | −3.20 (−6.04 to −0.35) | 0.028 | −2.59 (−5.66 to 0.48) | 0.098 |
Intracranial hemorrhage at 24 hours | 21/51 (41.2) | 67/164 (40.9) | OR | 0.99 (0.51 to 1.92) | 0.98 | 0.98 (0.47 to 2.05) | 0.96 |
Values expressed as the no/total no (%), unless otherwise stated. OR and mean difference were calculated using patients with SVS (–) as the reference group.
*Adjusted for prespecified factors (study, age, admission NIHSS) and baseline between-group difference at P<0.10 in bivariate analysis (gender, diabetes, IVT, glycemia, site of occlusion, onset to MRI time).
†Median (IQR).
‡Common OR of improvement of 1 point in 90-day mRS score.
§13 missing values (five in SVS–).
¶Mean change (95% CI) adjusted for study and baseline values.
**Adjusted mean between-group difference.
IVT, IV thrombolysis; mRS, modified Rankin Scale; mTICI, modified Thrombolysis in Cerebral Infarction score; NIHSS, National Institutes of Health Stroke Scale; SVS, susceptibility vessel sign.