New Stroke Treatment: Quick Removal of Clot for Good Recovery

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In summary, A new treatment for strokes has been described in a NY Times article. It involves using large, non-portable equipment to quickly remove blood clots in the brain through a femoral vessel. This procedure is more effective for blockages caused by clots and has a quicker timeline for recovery compared to standard Cath Lab procedures. Some helpful links from the article have been provided for further information.
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BillTre
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There is a new treatment for strokes described in this NY Times article.
It has to happen quickly and requires big (non-portable) equipment.
If the stroke is a blockage of blood flow by a clot, rather that a burst vessle, the location of the clot can be identified by CT scan and endoscopically removed through a femoral vessel.
If quick enough, recovery seems good.
 
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Can you link to an article that doesn't require a subscription? What specifically is different about this procedure compared to standard Cath Lab procedures for ischemic stroke, and why is the required timeline quicker on this procedure? Thanks.
 
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berkeman said:
Can you link to an article that doesn't require a subscription? What specifically is different about this procedure compared to standard Cath Lab procedures for ischemic stroke, and why is the required timeline quicker on this procedure? Thanks.
Here are some links from the article:

Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke:​

https://www.nejm.org/doi/full/10.1056/nejmoa1414905

Endovascular Reperfusion Alberta (ERA) Project:​

https://www.albertahealthservices.ca/scns/page13274.aspx

Mission Thrombectomy is a global coalition:
https://missionthrombectomy2020.org/#
 
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FAQ: New Stroke Treatment: Quick Removal of Clot for Good Recovery

What is the new stroke treatment involving quick removal of the clot?

The new stroke treatment involves a procedure called mechanical thrombectomy, where a specialized device is used to physically remove the blood clot from the blocked artery in the brain. This is typically done in conjunction with intravenous thrombolysis (IV tPA), a clot-busting drug, to improve the chances of a good recovery.

How does mechanical thrombectomy improve stroke recovery?

Mechanical thrombectomy improves stroke recovery by rapidly restoring blood flow to the affected area of the brain, thereby minimizing the extent of brain damage. Early intervention can significantly reduce disabilities and improve overall outcomes for stroke patients.

Who is eligible for mechanical thrombectomy?

Mechanical thrombectomy is typically recommended for patients with large vessel occlusions (LVOs) who can be treated within 6 to 24 hours of stroke onset. Eligibility is determined based on the location and size of the clot, the patient's overall health, and the time since stroke symptoms began.

What are the risks associated with mechanical thrombectomy?

While mechanical thrombectomy is generally safe, it does carry some risks, including bleeding at the puncture site, damage to blood vessels, and potential for dislodging the clot to another part of the brain. However, the benefits often outweigh the risks, especially when performed by experienced medical professionals.

How does the quick removal of a clot compare to traditional stroke treatments?

Quick removal of a clot through mechanical thrombectomy has shown to be more effective than traditional treatments alone, such as intravenous thrombolysis. Studies have demonstrated that patients undergoing thrombectomy are more likely to regain independence and have better long-term outcomes compared to those receiving only medication-based treatments.

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