A New Imaging Approach for Late-Window Stroke Thrombectomy

Modest benefits were seen in thrombectomy patients chosen based on collateral flow.

Recent trials have shown evidence for a benefit from endovascular thrombectomy (EVT) for select patients with stroke who can be treated within the late window, defined as 6 to 24 hours after onset. Patients can be selected for treatment with use of either advanced imaging (comparing diffusion and perfusion imaging profiles) or computed tomography (CT) alone. Another approach is to evaluate presence of collateral flow.

For this randomized, partially industry-funded study, investigators recruited patients to compare EVT versus no thrombectomy in patients who could start EVT within the 6- to 24-hour time window after stroke. Patients were evaluated for collateral flow with single-phase CT angiography. Collaterals were designated as grade 0 (no …

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

A New Imaging Approach for Late-Window Stroke Thrombectomy

Topics

Reviewing Author