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mTICI / TICI Reperfusion Grade

1.0.0

Assigns the modified Treatment in Cerebral Infarction (mTICI) grade after endovascular thrombectomy, including the commonly used 2c subcategory. Reports whether reperfusion meets the conventional “successful” threshold (mTICI ≥2b) and the preferred near-complete/complete target (≥2c/3).

Also searched as: stroke · thrombectomy · EVT · angiography · neurointerventional · brain

mTICI grade (final angiographic result)

Reperfusion of the previously occluded target artery territory at procedure end.

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How this tool works

The mTICI scale grades antegrade reperfusion of the previously occluded target arterial territory on catheter angiography at the end of mechanical thrombectomy. Grade 2 was split so that 2a is <50% and 2b is ≥50% of the target territory; many centers further distinguish 2c (near-complete reperfusion with only slow flow or a few distal cortical emboli) from full 3. Successful reperfusion in trials is usually defined as mTICI 2b–3; functional outcomes are better still with 2c/3 than with 2b alone. The grade is a technical endpoint and must be interpreted with baseline infarct burden, time metrics, and clinical exam.

References

Implemented from the cited published sources. Educational use only; confirm against current guidelines before clinical use.

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