Direct catheter-based thrombectomy in acute ischaemic stroke performed collaboratively by cardiologists, neurologists

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Updated: Aug 2, 2026

Prehospital Thrombolysis: A Manual from Berlin
05:52

Prehospital Thrombolysis: A Manual from Berlin

Published on: November 27, 2013

Petr Widimsky1, Boris Koznar, Tomas Peisker

  • 1Department of Cardiology, University Hospital Kralovske Vinohrady and the Third Faculty of Medicine, Charles University, Prague, Czech Republic.

Eurointervention : Journal of Europcr in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
|May 21, 2014
PubMed

Insights

Direct catheter-based thrombectomy (d-CBT) involving multiple specialists shows promise for acute ischemic stroke. Early intervention within 2 hours significantly improves functional outcomes in stroke patients.

Area of Science:

  • Interventional Neurology
  • Cardiovascular Interventions
  • Radiology

Background:

  • Acute ischemic stroke requires rapid intervention to restore blood flow.
  • Catheter-based thrombectomy is a key treatment, but its optimal implementation is under investigation.

Purpose of the Study:

  • To evaluate the feasibility of direct catheter-based thrombectomy (d-CBT) performed collaboratively by cardiologists, neurologists, and radiologists.
  • To assess outcomes in patients undergoing d-CBT for acute ischemic stroke.

Main Methods:

  • Twenty-three patients with acute ischemic stroke underwent d-CBT within 6 hours of symptom onset.
  • Mechanical recanalization success rates and procedural times were recorded.
  • Clinical outcomes including mortality, modified Rankin Scale (mRs) scores, and functional recovery were assessed at 90 days.

Main Results:

  • Mechanical recanalization was successful in 83% of patients.
  • Favorable functional outcomes (mRs ≤2) were achieved in 48% of patients, with 22% experiencing full or near-full recovery.
  • Patients treated within 120 minutes had significantly better outcomes (mean mRs 1.17).

Conclusions:

  • Collaborative d-CBT by neurologists, cardiologists, and radiologists is a feasible and promising approach for acute ischemic stroke.
  • Timely treatment, particularly within 2 hours of stroke onset, is crucial for maximizing patient benefit.
Abstract

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