Thrombectomy 6 to 24 Hours after Stroke

To the Editor: The results of the DAWN (DWI or CTP Assessment with Clinical Mismatch in the Triage of Wake-Up and Late Presenting Strokes Undergoing Neurointervention with Trevo) trial reported by Nogueira et al. (Jan. 4 issue) 1 show the advantage of basing the decision to perform thrombectomy in p...

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Published inThe New England journal of medicine Vol. 378; no. 12; pp. 1161 - 1162
Main Authors Vinny, P. Wilson, Vishnu, Venugopalan Y, Srivastava, M.V. Padma, Jovin, Tudor G, Nogueira, Raul G
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 22.03.2018
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Summary:To the Editor: The results of the DAWN (DWI or CTP Assessment with Clinical Mismatch in the Triage of Wake-Up and Late Presenting Strokes Undergoing Neurointervention with Trevo) trial reported by Nogueira et al. (Jan. 4 issue) 1 show the advantage of basing the decision to perform thrombectomy in patients with acute ischemic strokes on the presence of salvageable penumbral tissue instead of on a prespecified time window. We wonder whether screening-failure logs before randomization show that this approach may have benefited only a small percentage of patients who presented more than 6 hours after the onset of stroke. The high . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMc1801530