Does Clot Removal for Severe Stroke Still Help After a…

Does Clot Removal for Severe Stroke Still Help After a Full Year? New Data Weighs In Endovascular thrombectomy, physically removing a blood clot using a catheter, has transformed stroke care for many patients. But for strokes involving large areas of already established brain damage, called large core infarcts, the benefit has remained genuinely uncertain, and selecting the right patients has traditionally required advanced, specialised perfusion imaging not available at every hospital. A new analysis from the TESLA trial, published in JAMA, examines whether a simpler imaging approach still shows meaningful benefit over a longer follow up period. Why this trial matters: Previous major trials showed clear 90 day benefits for thrombectomy in large core stroke, but relied on advanced multimodal perfusion imaging to select appropriate patients, a resource not universally available, particularly at smaller or rural stroke centres. The T