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A Critical Assessment of the Golden Hour and the Impact of Procedural Timing in Stroke Thrombectomy.

Aaron P WessellH D P CarvalhoE J LeGregory J CannarsaMatthew James KoleJesse A StokumTimothy ChryssikosT R MillerSeemant ChaturvediDheeraj GandhiK YarbroughSudhakar R SattiG Jindal
Published in: AJNR. American journal of neuroradiology (2020)
Thrombectomy procedural times beyond 60 minutes are associated with lower revascularization rates and worse 90-day outcomes. Procedural time itself was not an independent predictor of outcome. While stroke thrombectomy procedures should be performed rapidly, our study emphasizes the significance of achieving revascularization despite the requisite procedural time. However, the potential for revascularization must be weighed against the risks associated with multiple thrombectomy attempts.
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