Discover and read the best of Twitter Threads about #neverlosehope

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1/ Endovascular stroke treatment (EVT) is one of the biggest success stories of medicine!
In clinical reality, the question is no longer “Who to treat?” but: “Who should we NOT treat???”

A case-based tweetorial about futile recanalization …
#NeuroTwitter #SharedDecisionMaking
2/ 🧠💔Futile Recanalization (FR) 🧠💔 usually refers to very poor outcome (modified Rankin Scale 5–6) despite a technically successful intervention. It is a bit the elephant in the room in the modern thrombectomy era.
3/ 86yo woman presents with acute severe right-sided hemiplegia and aphasia, NIHSS 14, pre-stroke mRS 1, BP 178/95, glucose 9.5mmol/L, ASPECTS 7, left M1-occlusion, poor collaterals, time since onset 320 minutes.
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