Prognosis
What is the prognosis?
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The earlier the thrombectomy is performed after the onset of symptoms, the better the outcomes tend to be. For example, patients who undergo thrombectomy within 6 hours of symptom onset generally have better recovery rates compared to those treated later.
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The 30-day mortality rate is approximately 29% in some studies, indicating that survival is significantly enhanced through timely intervention.
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Successful revascularization rates (TICI grades 2b to 3) after thrombectomy can be around 88.5%, contributing to sharp reductions in disability.
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Ongoing studies highlight that nearly 42% of patients achieve functional independence (defined as a modified Rankin Scale score of 0-2) at 90 days post-procedure.
What are the chances of a second surgery?
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The incidence of reocclusion of the same major vessel after a successful thrombectomy is quite low, typically around 2.5% to 5% depending on the studies.
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Overall, while the requirement for a second surgery post-thrombectomy is relatively low, it is not insignificant. The exact chances can vary based on individual patient circumstances, timing of intervention, and successful recanalization rates.