Endovascular thrombectomy alone versus combined with intravenous thrombolysis

To date, no randomized trial has directly addressed the question of whether IV tPA (IVT) improves the outcomes of IVT-eligible patients who will eventually undergo endovascular therapy (EVT) or whether a direct EVT strategy will be equally effective. We performed a systematic review and meta-analysis compare the efficacy and safety of direct EVT versus endovascular treatment with intravenous therapy (EVT+IV tPA) in adults with acute ischemic stroke.

Source: World Neurosurgery - August 17, 2017 Category: Neurosurgery Authors: Kevin Phan, Adam A. Dmytriw, Julian Maingard, Hamed Asadi, Christoph J. Griessenauer, Wyatt Ng, Kitso Kewagamang, Ralph J. Mobbs, Justin M. Moore, Christopher S. Ogilvy, Ajith J. Thomas Tags: Original article Source Type: research