Treatment Options for Stroke Time from symptom onset – < 3 or < 4.5 hours – “clot buster” medication tPA (Alteplase) – Greater than 4.5 hours OR ineligible for tPA Mechanical thrombectomy – Up to 8 hours from symptom onset
Finding the Clot Normal AngiographyAngiography showing a Stroke
Effectiveness of Solitaire Device SWIFT TRIAL Solitaire DeviceMerci Retriever Recanalization Rates 61%24% Good Neurological Outcomes at 90 Days 58%33% 90 Day Mortality17%38%
1.)“Solitaire FR Revascularization Device” Covidien. 27 Feb 2013 2.)Saver, JL Jahon R, Levy EI. Solitaire flow restoration device versus the Merci Retreiver in patients with acute ischaemic stroke (SWIFT): a randomized, parallel-group, non-inferiority trial. The Lancet, 380(9849), 1241-1249 2012. 3.)“About Stroke” American Stroke Association. 27 Feb. 2013 References:
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