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Tuesday, July 11, 2017

Interventional therapy for AIS

A summary of the evidence for endovascular therapy in stroke
First10EM - By Justin Morgenstern - July 11, 2017
"In part 2 of our EM Cases Journal Jam, we explored the literature looking at endovascular therapy for acute ischemic stroke. The studies of interventional therapy for stroke tend to get broken down into the early (negative) studies and the later (positive) studies. For consistency, I’ll use the same break down...
Summary
The studies here have to be rated as low quality. I would like to see at least 1 properly blinded study, and we clearly need more research to determine which patients are best managed with endovascular treatment, the harms of screening, and the societal impacts of this strategy. However, the recent studies are consistent and demonstrate an important benefit. Based on what we know today, I would want this therapy for myself."