Benefits of Endovascular Thrombectomy for Acute Stroke: A Closer Look

Results of a meta-analysis substantiate the claim that the sooner the procedure is performed, the better the outcomes.

Since 2015, endovascular thrombectomy has been a treatment option for patients with acute ischemic stroke. Although several trials demonstrated improved outcomes after the procedure, some were terminated early, resulting in relatively small sample sizes.

To obtain a clearer picture from the data, researchers performed a meta-analysis of five trials involving 1287 participants. The primary outcome was disability at 3 months, measured as a shift on the modified Rankin scale. Patients' mean age was about 67 years, and 47% were women. From symptom onset, the median time to study entry was 196 minutes, median time to arterial puncture was 238 minutes, and median time to reperfusion was 286 minutes. Seventy-one percent of patients had a proximal m…

Reviewing Author

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Benefits of Endovascular Thrombectomy for Acute Stroke: A Closer Look

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Reviewing Author