In Practice

Advances in stroke treatment are within reach

Allan Taylor, David le Feuvre, Victor Mngomezulu, Duncan Royston, Rohen Harrichandparsard, Coert de Vries, Arthur Winter, Francois Potgieter

Abstract


Five recent trials have shown that mechanical removal of clot from cerebral arteries after a stroke can achieve a functional independent outcome in up to 60% of patients. This was an absolute benefit of between 13.5% and 31% for patients who had clot removal initiated within 6 hours of symptoms over those who had best medical treatment. Coupled with this, there is a strong drive to develop stroke units internationally and in South Africa. As a starting point, more primary stroke care centres that can administer intravenous thrombolysis are needed. Comprehensive stroke centres that can offer mechanical thrombectomy are available, but more will be required as referral of patients increases. Collaboration of all roleplayers will ensure that we can deliver training and care at the best level for stroke patients.


Authors' affiliations

Allan Taylor, Division of Neurosurgery, Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town, South Africa

David le Feuvre, Division of Neurosurgery, Groote Schuur Hospital and Faculty of Health Sciences, University of Cape Town, South Africa

Victor Mngomezulu, Department of Radiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

Duncan Royston, Lake Smit Partners, Durban, South Africa

Rohen Harrichandparsard, Division of Neurosurgery, School of Clinical Medicine, College of Health Sciences, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa

Coert de Vries, Department of Radiology, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa

Arthur Winter, Burger Radiologists, Pretoria, South Africa

Francois Potgieter, Burger Radiologists, Pretoria, South Africa

Full Text

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Keywords

Stroke; Mechanical thrombectomy; Thrombolysis

Cite this article

South African Medical Journal 2016;106(5):454-455. DOI:10.7196/SAMJ.2016.v106i5.10355

Article History

Date submitted: 2015-11-16
Date published: 2016-03-30

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