Aspiration-based Thrombectomy Alone As Effective As Thrombectomy with Stent Retriever in Treating LVO Stroke? [Study]

Aspiration-based Thrombectomy Alone As Effective As Thrombectomy with Stent Retriever in Treating LVO Stroke? [Study]

 

Research published recently in JAMA Neurology sought to answer whether there were significant differences in treatment outcomes of a stent retriever combined with local aspiration-based mechanical thrombectomy versus aspiration-based thrombectomy alone in large vessel occlusion (LVO) stroke

The authors performed a randomized clinical trial of 198 patients and found no significant difference in safety or effectiveness between aspiration-assisted stent retrieval and direct aspiration for stroke intervention.
 

These findings add to the argument that treatment effects of mechanical thrombectomy devices in large-vessel acute ischemic stroke (AIS) remain unclear. Further research is needed to understand whether aspiration-assisted mechanical thrombectomy should be the standard of care for LVO, or whether reducing the number of treatment steps and using direct aspiration alone is more beneficial. 

What are your thoughts on this? What does your facility do? Let us know in the comments below.

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