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Endovascular therapy reduces disability from stroke, studies confirm

BMJ 2015; 350 doi: https://doi.org/10.1136/bmj.h2084 (Published 20 April 2015) Cite this as: BMJ 2015;350:h2084
  1. Susan Mayor
  1. 1London

Endovascular therapy using minimally invasive procedures to remove blood clots from occluded brain vessels within the first few hours of ischaemic stroke significantly reduces disability when compared with medical therapy, two studies published in the New England Journal of Medicine have shown.1 2

The first study randomised 196 patients to endovascular thrombectomy using a stent retriever within six hours of symptom onset in addition to intravenous alteplase, or to alteplase alone. All patients had acute ischaemic stroke with occlusion of the intracranial internal carotid artery or the first segment of the middle cerebral artery, or both, on …

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