REVASCAT

1
REVASCAT
Trial design Patients with acute ischemic stroke
who received intravenous alteplase within 4.5
hours of symptom onset were randomized to
thrombectomy with the Solitaire stent retriever
(n 103) vs. IV thrombolysis alone (n 103).
(p lt 0.05)
Results

• Modified Rankin Score of 0-2 at 90 days 43.7
  with thrombectomy vs. 28.2 with IV thrombolysis
  alone (p lt 0.05)
• Death at 90 days 18.4 vs. 15.5 (p not
  significant), respectively

43.7

28.2
Conclusions

• Among patients with acute ischemic stroke, stent
  retriever thrombectomy during conscious sedation
  was superior to IV thrombolysis alone
• Thrombectomy reduced the severity of post-stroke
  disability

Thrombectomy plus IV thrombolysis
IV lysis alone


Jovin TG, et al. N Engl J Med 20153722296-2306