Pre PACES Podcast #66 BAMR: Calling Stroke (part 2)
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Jul 30, 2023 Join Dr. Paul Sellers, a consultant in stroke and geriatric medicine, as he dives into the latest on thrombectomy and hyperacute stroke care. He breaks down the dramatic benefits of thrombectomy, eligibility criteria, and the evolving guidelines that every clinician should know. Discover how advanced imaging impacts treatment timelines and learn vital tips for referring patients. Dr. Sellers also highlights the importance of recognizing posterior circulation strokes and the future of thrombolysis for wake-up strokes, making this a must-listen for healthcare professionals!
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Thrombectomy's Large Clinical Impact
- Thrombectomy produces dramatic functional gains with NNT around three compared with thrombolysis's modest benefit.
- It's a transformative therapy for large vessel occlusion strokes, often restoring independence when previously unlikely.
Always Get A CTA Before Referring
- Confirm large vessel occlusion with CTA before referral; a plain CT or hyperdense vessel is insufficient.
- Ensure CTA is available or obtained before escalating to a thrombectomy centre.
Key Early Thrombectomy Eligibility
- Use pre-stroke mRS 0–2 (independent) and NIHSS ≥6 as typical early thrombectomy criteria within 0–6 hours.
- No age cutoff exists; functional independence matters more than age.