Tuesday, July 30, 2019

Thrombectomy 'Reasonable' in Stroke Patients With Large Cores

At a minimum our fucking failures of stroke associations should have a stroke research translator to readable English for stroke survivors. This doesn't meet any readable standard. How the hell are we going to tell our doctors what needs to be done?

Thrombectomy 'Reasonable' in Stroke Patients With Large Cores

Faster treatment may be especially important in this population

Potential(weasel words so useless) benefit cannot be ruled out for endovascular thrombectomy in acute ischemic stroke patients with substantial ischemic cores, according to a secondary analysis of the SELECT study.
Those who received mechanical thrombectomy were more likely to show functional independence at 90 days (modified Rankin Scale [mRS] score 0-2) than if they had gotten medical management alone (31% vs 14%, OR 3.27, 95% CI 1.11-9.62).
But after accounting for baseline differences in SELECT -- such as the latter group waiting longer to get treatment and presenting with larger ischemic cores -- the difference was no more (adjusted OR 3.95, 95% CI 0.62-25.35), reported Amrou Sarraj, MD, of University of Texas McGovern Medical School in Houston, in JAMA Neurology.

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