Stroke
Patients treated with mechanical thrombectomy for acute ischemic stroke have a lower risk of death and a shorter hospital stay, on average, when the procedure is undertaken using conscious sedation rather than general anesthesia.
Two recent studies, one conducted in Spain and the other in the United States, suggest that treating patients with anterior circulation strokes with intravenous (IV) thrombolysis prior to endovascular thrombectomy does nothing to improve outcomes. In fact, the US study suggests it may even raise costs. The findings were published online ahead of print on January 6, 2017, in Stroke and the Journal of NeuroInterventional Surgery, respectively.…
Basilar artery occlusions are more challenging to treat via thrombectomy than occlusions of the anterior circulation, according to a new study. The findings indicate that the procedure takes longer and outcomes are poorer. There may even be a greater risk for procedural complications.…
In appropriate patients, treating acute ischemic stroke with the Solitaire stent retriever plus tPA is not only clinically beneficial but also more cost effective than using tPA alone. The findings, from a new analysis of SWIFT-PRIME trial data, were published online December 27, 2016, ahead of print in Stroke.…
Standard practice dictates that all eligible patients receive IV thrombolysis before undergoing endovascular treatment of an acute ischemic stroke caused by a large vessel occlusion, but a new analysis of previously published data hints at the possibility of forgoing that initial step without harming outcomes.…
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