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Thrombectomy can be considered up to 24 hours after onset of stroke, says NICE

BMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k4995 (Published 23 November 2018) Cite this as: BMJ 2018;363:k4995

Re: Thrombectomy can be considered up to 24 hours after onset of stroke, says NICE

The article states that thrombectomy should be offered to patients with acute ischaemic stroke whose symptoms started in the previous 24 hours when occlusion of the proximal posterior circulation has been demonstrated. The draft recommendation is actually for this procedure to be considered in these patients, and then only if there is the potential to salvage brain tissue, as shown by CT or MRI scanning techniques.

The draft guideline also recommends thrombectomy should be offered to patients with acute ischaemic stroke within 6 hours of symptom onset who have confirmed occlusion of the proximal anterior circulation. It also recommends thrombectomy should be offered to people who were last known to be well between 6 hours and 24 hours previously who have acute ischaemic stroke and confirmed occlusion of the proximal anterior circulation if there is the potential to salvage brain tissue, as shown by CT or MRI scanning techniques.

Competing interests: No competing interests

06 December 2018
Philip Ranson
Digital Media Manager – Press
National Institute for Health and Care Excellence
10 Spring Gardens, London SW1A 2BU