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Endovascular thrombectomy (EVT) has become an important treatment for patients with acute ischemic stroke who can be treated within 6 hours of stroke onset and for select patients up to 24 hours of onset. Trials supporting the use of EVT in this setting were conducted in Europe, North America, and Australia. Whether EVT can be adopted and whether it will be efficacious in a lower-resource setting are unknown.
Now, investigators have conducted a multicenter, randomized trial (RESILIENT) involving 221 patients with acute stroke (mean age, 66 years) in the public healthcare system of Brazil. Patients were eligible if they could be treated within 8 hours of stroke onset and had occlusion in the internal carotid artery or middle cerebral artery. …