Letter by Kamtchum-Tatuene et al Regarding Article, “Mechanical Thrombectomy Improves Functional Outcomes Independent of Pretreatment With Intravenous Thrombolysis”
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To the Editor:
We read with great interest the recent article by Tsivgoulis et al1 demonstrating that endovascular thrombectomy (ET) improves the functional outcome of patients with emergent large-vessel occlusion (ELVO) independent of pretreatment with intravenous thrombolysis (IVT). As a consequence, ET could now be viewed as a treatment option on its own and should therefore be considered for patients with acute stroke in the early steps of the management process even if they do not qualify for IVT. This could help to further reduce the time to recanalization which is a key determinant of functional outcome at 3 months.2 Moreover, these results support the current clinical practice of offering ET alone to patients presenting with contraindications to IVT or having a high burden …