In a major, international study, named SELECT2, a University Hospitals (UH) research team found that patients with large strokes had a dramatically better recovery after endovascular thrombectomy plus medical management at long-term follow-up, than patients who only received standard medical management.
A study by the Neiman Health Policy Institute found that the costs of an Ischemic Stroke episode increased 4.9% from 2012 to 2019. However, the main driver of those costs was changes in treatments, such as endovascular thrombectomy and intravenous thrombolysis; increases in various types of neuroimaging were not key cost drivers. Over the study period, the share of episodes with treatment increased 155% from 7.3% to 18.5%. There were increases of 80% and 476% in the number of episodes with IVT-only or EVT.
Both simple and advanced computed tomography (CT) were effective in accurately predicting which stroke patients would benefit from endovascular thrombectomy to remove a large cerebral clot, but together they were even better, reported researchers at UTHealth in Houston.