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October 16, 2018; 91 (16) Disputes & Debates: Editors' Choice

Reader response: Personalizing acute therapies for ischemic stroke: Thrombolysis or thrombectomy?

Sunil Munakomi
First published October 15, 2018, DOI: https://doi.org/10.1212/WNL.0000000000006352
Sunil Munakomi
(Biratnagar, Nepal)
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Reader response: Personalizing acute therapies for ischemic stroke: Thrombolysis or thrombectomy?
Sunil Munakomi
Neurology Oct 2018, 91 (16) 764; DOI: 10.1212/WNL.0000000000006352

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I read with great interest the editorial by Lee and Dziedzic.1 The advances in imaging armamentarium have enabled us to enroll more patients with ischemic stroke for improved therapy through thrombolysis or thrombectomy. However, only a small subset of these cohort groups is currently benefitting. There is a need to maximize enrollment of such target groups through stroke awareness via community education2 and upgrading facilities for teletherapy management.3 These approaches would ensure that ideal candidates receive at least the IV thrombolysis treatment within the vital time window and are then followed up for mechanical thrombectomy.

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  • © 2018 American Academy of Neurology
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