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[Correspondence] Telemedicine expedites access to optimal acute stroke care

In their meta-analysis of patient-level data from five randomised trials, Mayank Goyal and colleagues1 (April 23, p 1723) reported that endovascular thrombectomy was effective for patients with acute ischaemic stroke caused by large-vessel occlusions (number needed to treat, 2·6). Individuals that will benefit include older patients (age >80 years), those ineligible to receive tissue plasminogen activator (tPA), and those with internal carotid artery or M1 occlusion. We agree with the authors that the findings “have global implications on structuring systems of care”1 to ensure no eligible patient is missed under these expanded criteria.