Intended for healthcare professionals

Letters Thrombectomy for acute stroke using cardiology services

Cardiology services not suitable for thrombectomy after acute stroke

BMJ 2015; 351 doi: (Published 28 August 2015) Cite this as: BMJ 2015;351:h4604
  1. Lalani Carlton Jones, neuroradiology subspecialty trainee1,
  2. Kyriakos Lobotesis, consultant neuroradiologist and interventional lead2
  1. 1National Hospital for Neurology and Neurosurgery, London WC1N 3BG, UK
  2. 2Imperial College Healthcare NHS Trust, London, UK
  1. lalanidias{at}

Apps and colleagues highlight the need for increased availability of acute thrombectomy services in light of recent stroke trials showing that thrombectomy is more efficacious than thrombolysis.1 However, involvement of cardiology services is not an effective solution.

A major reason for the success of these trials is careful patient selection based on advanced neuroimaging. In particular, …

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