Key result
Endovascular thrombectomy proves highly effective over medical therapy for acute ischemic stroke from large-vessel occlusion.
Why the study?
Acute stroke care and research have been affected by the COVID-19 pandemic, and the effectiveness of EVT in middle and low-income countries needed evaluation.
Does endovascular thrombectomy (EVT) improve outcomes in acute ischemic stroke due to large vessel occlusion in health care systems with constrained resources?
Does endovascular thrombectomy (EVT) improve outcomes in acute ischemic stroke due to large vessel occlusion in health care systems with constrained resources?
Answers are grounded in this paper and cite their sources.
Endovascular thrombectomy for acute ischemic stroke is highly effective not only in high-resource countries but also in health care systems with more constrained resources, highlighting the need for developing infrastructure in low- and middle-income countries.
n this past year, medicine has been dominated by the coronavirus disease 2019 (COVID-19) pandemic.Acute stroke care and research has been affected both directly 1,2 and indirectly.We present a summary and commentary on advances published and presented in 2020 ending with observations on COVID-19 and stroke. EVT IN MIDDLE AND LOW-INCOME COUNTRIESEndovascular thrombectomy (EVT) has been shown to be a highly effective treatment in high-resource countries.The RESILIENT (Randomization of Endovascular Treatment With Stent-retriever and/or Thromboaspiration Versus Best Medical Therapy in Acute Ischemic Stroke Due to Large Vessel Occlusion Trial) performed at 12 public hospitals in Brazil demonstrated that EVT is also highly effective in a health care system with more constrained resources.3 Infrastructure and support are needed for EVT in the developing world.
No takes yet. Share an insight, caveat, or question.
A 2021 study conducted a review in Acute ischemic stroke. Endovascular thrombectomy (EVT) vs. Best medical therapy was evaluated. The RESILIENT trial, performed at 12 public hospitals in Brazil, demonstrated that endovascular thrombectomy is highly effective for acute ischemic stroke due to large vessel occlusion.
Synapse has enriched 10 related papers. Consider them for comparative context: