MAD-MT Score: Enhancing Patient Selection for Mechanical Thrombectomy in Distal Vessel Occlusions

Highlight

• The MAD-MT score combines clinical risk and procedural factors to guide mechanical thrombectomy (EVT) in distal and medium vessel occlusions.
• Patients with a MAD-MT score ≥15 significantly benefit from EVT, showing better 90-day functional outcomes compared to medical management.
• Lower score patients (<15) may experience worse outcomes with EVT, underscoring the importance of cautious patient selection.
• This pragmatic tool aids clinical decisions and trial designs targeting less-studied distal occlusions.

Study Background