Thrombectomy in Patients with Large Ischemic Strokes - Guideline Knowledge CheckAndrea Eberly, MD, MS, FAAEM examines newly released data addressing the use of thrombectomy in patients with large ischemic stroke.
In 2019, the American Heart Association (AHA) published stroke guidelines that, mostly due to a lack of data, did not recommend thrombectomy in patients with very large ischemic strokes.
This data gap was recently (April 2022) addressed by a Japanese study.
What did the study find with regards to thrombectomy in patients with very large ischemic strokes?
Try this case and test your knowledge of the latest information regarding thrombectomy in patients with very large ischemic strokes.
A 73-year-old, previously healthy man (modified Rankin score of 0) presents to a stroke center with a 2-hour history of a large left-sided ischemic stroke in his anterior circulation and an NIHSS score of 16.
Emergent computed tomography (CT) shows no hemorrhage, an angiogram shows an occlusion of the proximal section of the middle cerebral artery (MCA).
His Alberta Stroke Program Early Computed Tomography Score (ASPECTS) is 4.
According to a recent Japanese study, how does the addition of thrombectomy to routine medical care (with thrombolysis when eligible) affect recovery in previously high-functioning patients with a large ischemic stroke?
See the Answer:
Dr. Andrea Eberly is one of the seasoned medical experts that contribute to Med-Challenger Medical Education products for medical board certification exam preparation, maintenance of medical certification, and continuing medical education requirements.
Med-Challenger EM PRO BundleEverything in Emergency Medicine
$3672 in value. You save over 44%.
Ideal use of your CME Budget!
EM PRO VALUE BUNDLE - Everything emergency medicine physicians need for knowledge excellence, ABEM exam review, annual MOC requirements, including all MyEMCert modules, annual LLSAs and specialty CME credits, over their entire career - for one great value price.
Call 1-800-676-0822 or email@example.com
If you already own any of the titles in EM PRO, contact us for special discounts and upgrade pricing.
EM PRO bundle includes:
CME Credit Totals:
- 650+ AMA PRA Category 1 CME Credits
- 60 ACEP-approved CME Credits
- 53 AAP Category 1 CME Credits
- 53 ABP MOC Part II CME Credits
Kristy Johnson, MD
EM PRO is the best medical education purchase I've ever made. Pays off every year.
More from Med-ChallengerThe Leader in Online Board Review, CME Courses, and Medical Education
Did you like this?
Get more free medical Q&A and informative CME articles.
Subscribe to the Medical Education Blog
More from Med-Challenger's Medical Education Blog
Retinal Disease – Clinical Patient Case of the WeekAugust 3, 2022
Non-ST-Elevation Acute Coronary Syndromes – Special Patient Groups, Free CME Quiz – Earn AMA and ANCC Credits FreeAugust 2, 2022
Abnormal Vital Signs and Shock – Clinical Patient Case of the WeekJuly 19, 2022
Board Review & CME Offers
Med-Challenger provides online medical education, top-rated board review courses, annual MOC and CME credit solutions for physicians, nurses, PAs and students. Take advantage of our current offers.
PROCareer Value Bundles
in your specialty.
Useful every year.
Ideal use your CME budget.