MR CLEAN is a Dutch trial that investigated treatment of a severe form of ischaemic stroke (blockage type stroke) with thrombolysis alone (dissolving a clot with clot-busting drugs), versus treatment with both thrombolysis.
On February 11, at the International Stroke Conference (ISC 2015 in Nashville, USA) the latest findings were released from four, large studies investigating the effect of treating patients with mechanical clot retrieval.
Two more studies support (thrombectomy) mechanical clot retrieval for stroke.
Pilot trial of devices to extract clot from occluded arteries (PISTE)
Two new research studies were published today, supporting the use of thrombectomy (mechanical retrieval of clots in the brain) for the treatment of large ischaemic strokes.
At present it is not clear how best to organise NHS services so that patients can benefit from threombectomy for stroke. The Institute of Heath Services, Newcastle University, has produced an online survey to understand the preferences of stroke survivors, their carers and the public on the future of stroke thrombectomy service organisation in the UK.
Alteplase-Tenecteplase Trial Evaluation for Stroke Thrombolysis (ATTEST 2) - TSA BHF 2015/01
Exploring the effects of lowering blood pressure and a lower dose of clot busting drug on stroke outcome
Researchers at Foothills Hospital in Calgary, Canada have done research that claims that TIAs (mini strokes) could cause long-term disability, and that clot busting drugs like Actilyse could be used to treat them.