David Brown, Washington Post Posted: Sunday, February 10, 2013, 3:01 AM Three long-awaited studies have shown that mechanically removing a blood clot from a stroke patient's brain is no more useful than the older treatment of giving an IV dose of a clot-dissolving drug to the whole body. The results of the clinical trials, presented this week at a meeting in Hawaii, shocked and surprised stroke physicians. Many had adopted the more aggressive strategy over the last decade. "For the stroke field, this is a really big deal," Walter Koroshetz, deputy director of the National Institute of Neurological Disorders and Stroke, said of the findings, presented over three days at the International Stroke Conference in Honolulu. NINDS paid for two of the trials, one of which cost $27 million. One study took eight years to do because it was so difficult to enroll patients willing to take the chance they'd be randomly assigned to get the older treatment. Practitioners hoped that "endovascular treatment," in which a catheter is threaded into a blocked artery and the clot pulled out, would do for stroke patients what it has done for heart attack patients. In them, going after clots with angioplasty balloons and … Continue reading
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