Immediately after the MR CLEAN trial (a multicenter randomized clinical trial of endovascular treatment of acute ischemic stroke conducted in the Netherlands) showed that stroke patients could benefit from endovascular treatment, two trials of thrombolytic devices were discontinued early due to benefits in the endovascular treatment group, and a third trial was suspended for early interim analysis. Results from the MR CLEAN trial, presented at the recent 9th World Stroke Congress, showed that endovascular interventions (including mechanical treatment with arterial catheter insertion to the site of occlusion, with most patients receiving thrombolysis first) were associated with improved function at 90 days – reduced scores on the modified Rankin Scale; compared with The corrected ratio ratio was 1.67 compared with optimal pharmacological treatment. [WSC2014] MR CLEAN: Better prognosis with local anaesthesia for stroke treatment Since then, two other studies evaluating endovascular interventions – ESCAPE and EXTEND IA- -were stopped after early interim analyses showed benefit in the interventional group. The SWIFT PRIME (Solitaire FR for Primary Prevention of Acute Ischemic Stroke) Study Data Safety Monitoring Board, which also investigated second-generation embolectomy, has been suspended for early interim analyses in light of these three trials in which preliminary analyses showed positive results for revascularization therapy. Dr. Jeffrey Saver, commented in Medscape Medical News, “The new results could have a potentially transformative impact on stroke treatment, it has long been thought that embolectomy would be beneficial, and it is good news that we are now actually seeing positive results.” Acute stroke is very new to us, the people. I have a hard time watching all this stuff on the news, let alone the people. But the impact of acute stroke on people’s quality of life is real. Sudden onset of coma, inability to speak, impaired physical activity, etc. are all signs of acute stroke. What should we do when these problems occur? In our current situation, most people can only be sent to the nearby medical department, or to a large hospital if they are lucky, or to a clinic if they are unlucky. The treatment is what it is, after the treatment may recover, but most of the patients are living together, or, perhaps a little more lucky, to say goodbye to the pain of this world. This is not just the level of the doctor can decide. This is the current state of medical care in China, or even in the world, and there is no conclusive evidence to tell us what to do. We doctors are still feeling our way across the river. But the news above tells us that acute stroke patients may be saved. Because we have an embolization device! It has the potential to allow most patients with acute stroke to not only live on this earth, but to have a better quality of life. The Cerebrovascular Disease Center at Titan Hospital is committed to this research. This study is not something that can be done by one doctor or even one department. Our study involves seven departments: interventional neurology, neurology, anesthesiology, emergency medicine, NICU, neuroimaging, and catheterization, and the collaboration of several departments allows each of our patients to receive the best treatment in a timely manner. Every acute stroke patient who comes to the emergency department of Titan Hospital – unbeknownst to them – will immediately have more than 20 top neurologists, doctors, nurses and medical technicians at his service. After more than a year of bonding, we have basically been able to reduce the time from the patient’s admission to the start of surgery to less than an hour, because we know that time is brain. Not all patients are suitable for acute opening. We have a fairly strict time window for treatment, beyond which it is better to treat than not to treat, which is why we have repeatedly compressed in-hospital delays for our patients. But pre-hospital delays are beyond our control. Some patients arrive at the hospital having already missed the best time for treatment, and there is nothing the most awesome team can do. When God says no to us, we also have to say: We live and we learn. So what do we know about acute stroke vascularization? Our leaders told us that in the past, acute stroke patients who entered the intensive care unit basically went in and couldn’t get out, but now we have at least half of them coming out with a certain quality of life. In fact, I very much do not want only big hospitals to be able to treat patients in this way. What I would like to see is that one day, most hospitals in China will be able to treat stroke patients within their radius, so that patients can find the right hospital in the shortest possible time and save their brains to the greatest extent. Treating diseases is not about satisfying the sense of achievement and vanity of the doctor, but about making everyone feel equally the gospel that medicine brings to us. I hope the state can invest the money wasted by the three publics every year into this project, whatever the dozen or five plans are!