Beyond Recanalization: Understanding the Dynamic Evolution of the No-Reflow Phenomenon After Stroke Thrombectomy

Highlights

The no-reflow phenomenon occurs in approximately 20-30% of patients even after technically successful endovascular thrombectomy (eTICI 2c-3).

Serial perfusion MRI demonstrates that no-reflow is not a static event; it can persist, resolve, or newly develop within 24 to 48 hours post-procedure.

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