Mazen Abuawad, M.D., an interventional radiologist with Envision Physician Services, recently completed a study that evaluated how mechanical thrombectomies performed on stroke patients at community hospitals compared to those from five major trials and the ATRATIS national registry. With the goal of determining whether thrombectomies can result in positive outcomes in a community hospital setting, Dr. Abuawad and his team discovered that not only were the outcomes favorable but, in some instances, they exceeded those of the major trials and the national registry.
Efficacy was classified according to the modified thrombolysis in cerebral infarction (mTICI) scoring system, while the outcome was measured using the modified Rankin Scale (mRS) at 90 days. Ultimately, the patients who participated in the study fared just as well as those who had thrombectomies performed in other settings. This was significant considering the median patient age for the community hospital patients was seven years older than the two other groups. Of note, the median time from groin puncture to reperfusion was 48 minutes, which fell within a similar time window as patients from the national registry and took less time than in the five major trials.
The team plans to publish the results of their study in a major journal. Dr. Abuawad also presented the study’s abstract at the European Stroke Conference in Athens, Greece, April 12.