October 8, 2025

Increased middle cerebral artery velocity predicts malignant media infarction after endovascular stroke thrombectomy.

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Increased MCA peak systolic velocity was significantly associated with malignant media infarction.
In a cohort of 377 patients, 49 developed malignant media infarction, highlighting the predictive value of MCA-PSV.
Multivariable regression revealed odds ratio of 53.3 for malignant infarction with increased MCA-PSV, indicating a strong predictive marker.
The findings suggest transcranial Doppler could be valuable for assessing individual risk after endovascular thrombectomy.

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Retrospective analysis found increased MCA peak systolic velocity predicts malignant infarction, suggesting its role in risk assessment.

Baki et al. (2025) studied this question.

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