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May 8, 2026European Stroke Journal

Abstract Number: Esoc2026lb64 Recently Completed Re-Audit of Out-of-Hours Mechanical Thrombectomy Access for Anterior Circulation Stroke in a Uk Tertiary Centre

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Authors

ASArun Subramanian

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Overview

Randomized trial evaluates enhanced access to mechanical thrombectomy for stroke patients, suggesting better outcomes.

Key Points

  • This research aims to evaluate the impact of a structured protocol on access to mechanical thrombectomy for out-of-hours patients with anterior circulation large vessel occlusion stroke.
  • Conducted a re-audit after implementing a structured late-window reassessment protocol.
  • Included an initial audit and prospective re-audit of consecutive out-of-hours LVO patients from July to September 2024.
  • Evaluated imaging utilisation, multidisciplinary discussion, and access to mechanical thrombectomy.
  • CT angiography was performed in 100% of cases, with CT perfusion at 71%.
  • The proportion of out-of-hours patients receiving mechanical thrombectomy increased from 22% to 39%.
  • Approximately 65% of mechanical thrombectomy recipients achieved a modified Rankin Scale of 0–2 at discharge.

Cite This Study

Arun Subramanian (2026) studied this question.

synapsesocial.com/papers/69fd7f86bfa21ec5bbf0815bhttps://doi.org/10.1093/esj/aakag023.1988
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1ABSTRACT NUMBER: ESOC2026A245 CLINICAL OUTCOMES FOLLOWING MECHANICAL THROMBECTOMY IN HYPERACUTE POSTERIOR CIRCULATION STROKE2026
  2. 2ABSTRACT NUMBER: ESOC2026LB121 LB121 - LARGE ARTERY OCCLUSION TREATED IN EXTENDED TIME WITH MECHANICAL THROMBECTOMY (LATE-MT) : A MULTICENTRE, RANDOMISED CONTROLLED TRIAL2026
  3. 3ABSTRACT NUMBER: ESOC2026A862 MECHANICAL THROMBECTOMY BEYOND STRICT GUIDELINES: A 5-YEAR SINGLE-CENTER EXPERIENCE2026
  4. 4ABSTRACT NUMBER: ESOC2026A559 IMPACT OF A COMPREHENSIVE 72-HOUR STROKE UNIT PROTOCOL IMPLEMENTATION ON OUTCOMES AFTER MECHANICAL THROMBECTOMY: A PRE–POST OBSERVATIONAL STUDY2026
  5. 5ABSTRACT NUMBER: ESOC2026A994 REDUCING OUT-OF-HOURS VARIATION IN ACUTE STROKE IMAGING FOLLOWING EMERGENCY DEPARTMENT CT RELOCATION2026