Alawieh A, et al. - In this review of 1,359 patients who underwent endovascular thrombectomy (ET) at 7 US centers between June 2013 and February 2018, researchers assessed the outcomes and complications after the procedure, including 90-day modified Rankin scores, successful recanalization, symptomatic hemorrhage (sICH) in relation to procedure time (PT). ET was performed with a stent retriever (SR) or a direct aspiration at first pass technique. In different patient cohorts, the risk of procedure extension was also investigated. Multivariate analyses were used. Extension of PT beyond 30 minutes was associated with decreased chances of good functional outcomes (modified Rankin score 0 to 2). Overall, lower rates of functional independence and higher rates of sICH and complications were observed in association with longer ET procedures. Careful evaluation of futility and risks of continuing the procedure was recommended in cases with > 60 minutes or 3 attempts for the procedure.