Outcome
Iain makes a rapid recovery with no complications from the procedure. On the second day he is transferred from the HASU to the stroke unit but within two days he has only a minor speech deficit.
He is discharged home with follow up in the community. He continues on Apixaban to reduce the risk of a further ischaemic stroke.
Key messages
- Patients on oral anticoagulants are not usually eligible for thrombolysis (unless on Warfarin and INR <1.6)
- Thrombectomy is an effective treatment for patients with Large Artery Occlusion (LAO) who cannot receive thrombolysis
- Time is Brain – delays in delivering thrombectomy need to be minimised
- Thrombectomy is a complex procedure, delivered by a team of experts in a specialist facility
- Thrombectomy has some major complications – those caring for patients after the procedure need to be alert to these and know how to provide immediate treatment.
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