What is Emergency Medicine -Which medical conditions qualify patients for mechanical thrombectomy?10/31/2022 What is Emergency Medicine -Which medical conditions qualify patients for mechanical thrombectomy?
Patients were a part of the early investigations on IR-guided mechanical thrombectomy. Aged 18 with an NIHSS of.6, little functional impairments prior to the stroke, and a CT scan showing signs of an LVO with salvageable tissue whose most recent normal state occurred less than six hours ago The five greatest randomized controlled trials (RCTs) combined into the HERMES meta-analysis demonstrated a significant patient functional advantage to thrombectomy in this group (NNT52.6) without an increased risk of mortality or ICH at 90 days. Since then, the DEFUSE3 trial and the DAWN trial have studied thrombectomy between 6 and 24 hours, and both have shown improvements in functional outcomes when compared to standard of care. The last few years have seen tremendous promise for embolectomy, and as additional trials are released, its indications will probably continue to grow.
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