Selecting Patients for Thrombectomy with a Simplified Imaging Approach

Outcomes of thrombectomy versus medical therapy alone were compared in patients presenting in later time windows who were selected for treatment using noncontrast CT alone.

Most studies that have shown a benefit from thrombectomy (EVT) for ischemic stroke in the late time window (6 to 24 hours after time last known well) have used either perfusion imaging or advanced imaging to identify core infarct volume. In many parts of the globe, advanced imaging is not available, and the use of plain computed tomographic imaging (CT) is used for treatment decisions. Whether plain CT alone can identify EVT candidates in the late time window is unknown. Researchers conducted an investigator-initiated, industry-funded multicenter registry at 66 hospitals in 10 countries. Patients with anterior-circulation stroke in the 6- to 24-hour time window were enrolled, and local clinicians decided on either EVT or medical management …

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

Selecting Patients for Thrombectomy with a Simplified Imaging Approach

Topics

Reviewing Author