title: Susceptibility vessel sign on T2* magnetic resonance imaging and recanalization results of mechanical thrombectomy with stent retrievers: a multicentre cohort study.
abstract: OBJECTIVE
  The susceptibility vessel sign (SVS) on T2*-weighted magnetic resonance imaging has been reported in several studies as a negative predictor of early recanalization after intravenous thrombolysis. The meaning of SVS regarding the results of mechanical thrombectomy with stent retrievers was investigated.
  
  
  METHODS
  Susceptibility vessel sign presence and length were studied in 153 acute ischaemic stroke patients (82 men; mean ± SD age 59 ± 17 years, baseline National Institutes of Health Stroke Scale score 17.2 ± 6.5) from three stroke centres, treated with either mechanical thrombectomy alone (n = 84) or bridging therapy (n = 69). Variables were compared between recanalizers, defined as thrombolysis in cerebral infarction (TICI) scores ≥2b, and non-recanalizers (TICI<2b).
  
  
  RESULTS
  The SVS was present in 113 (73.8%) patients. There was no association between the presence of SVS and recanalization, obtained in 86 (56.2%) patients, in the whole population [odds ratio (OR) 1.24, 95% confidence interval (CI) 0.53-2.92, P = 0.84) and in treatment subgroups (bridging: OR = 0.91, 95% CI 0.29-2.87, P = 1.0; thrombectomy alone: OR = 1.85, 95% CI 0.48-7.16, P = 0.54). However, in SVS+ patients, recanalization decreased with SVS length (OR 0.94 for each additional mm, 95% CI 0.89-0.99; P = 0.02).
  
  
  CONCLUSIONS
  The success of recanalization in acute stroke patients treated with stent retrievers was related to thrombus length but not to the presence of SVS.
authors: Department of Neuroradiology, INSERM UMR S894, Université Paris Descartes, Sorbonne Paris Cité, Hôpital Sainte-Anne, Paris, France; Department of Neuroradiology, CHU Reims, Hôpital Maison Blanche, Université de Champagne-Ardenne, Reims, France.
authors: S
authors: S
authors: Soize
authors: A L
authors: AL
authors: Batista
authors: C
authors: C
authors: Rodriguez Regent
authors: D
authors: D
authors: Trystram
authors: M
authors: M
authors: Tisserand
authors: G
authors: G
authors: Turc
authors: I
authors: I
authors: Serre
authors: W
authors: W
authors: Ben Hassen
authors: M
authors: M
authors: Zuber
authors: D
authors: D
authors: Calvet
authors: J-L
authors: JL
authors: Mas
authors: J-F
authors: JF
authors: Meder
authors: J
authors: J
authors: Raymond
authors: L
authors: L
authors: Pierot
authors: C
authors: C
authors: Oppenheim
authors: O
authors: O
authors: Naggara
mesh_terms: D000328:Adult; D000368:Aged; D002545:Brain Ischemia / Q000473:pathology / Q000628:therapy*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D061185:Mechanical Thrombolysis / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D015607:Stents; D020521:Stroke / Q000473:pathology / Q000628:therapy*; D013927:Thrombosis / Q000473:pathology*; D014481:United States
keywords: ischaemic stroke; magnetic resonance imaging; thrombectomy; thrombus