Recommendation ID
IPG458/2
Question
Patients with acute ischaemic stroke for whom thrombolysis is suitable: The procedure should only be used in the context of research:
- Research should include randomised studies comparing mechanical clot retrieval against thrombolysis or other current methods of management and should report details of patient selection, timing of the intervention after onset of symptoms, the devices and techniques used, complications and functional outcomes.
- NICE encourages clinicians to enter patients into randomised trials such as the PISTE trial. In addition, details of all patients should be entered into the SITS-TBY register.
Any explanatory notes
(if applicable)
The current evidence on mechanical clot retrieval for treating acute ischaemic stroke shows that efficacy is unproven. With regard to safety, there are risks of serious complications. The following recommendations balance these considerations against the poor prognosis of many patients with stroke. Suitability for thrombolysis can be guided by criteria used in the Pragmatic Ischaemic Stroke Thrombectomy Evaluation (PISTE) trial.

Source guidance details

Comes from guidance
Mechanical clot retrieval for treating acute ischaemic stroke
Number
IPG458
Date issued
July 2013

Other details

Is this a recommendation for the use of a technology only in the context of research? Yes  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 31/07/2013