What is a stroke?

A stroke occurs when blood supply to part of the brain is interrupted, causing brain cells to begin dying within minutes. There are two main types: ischaemic stroke (caused by a blood clot blocking an artery, accounting for approximately 85% of strokes) and haemorrhagic stroke (caused by a burst blood vessel).

Stroke is a medical emergency. The faster blood flow is restored, the better the outcome — reflected in the phrase "time is brain."

Mechanical thrombectomy

Mechanical thrombectomy is a minimally invasive procedure in which a neurointerventional radiologist removes a blood clot from a blocked brain artery using a catheter passed through a small puncture in the groin or wrist. Under X-ray guidance, a stent retriever or aspiration device is used to capture and withdraw the clot, restoring blood flow.

Thrombectomy is most effective when performed within 6–24 hours of stroke onset (depending on clinical imaging criteria). It has transformed outcomes for patients with large vessel occlusion stroke and is now recommended in major international guidelines.

Who is eligible?

  • Acute ischaemic stroke with large vessel occlusion (LVO) confirmed on CT or MR angiography
  • Treatable within established time windows (up to 6 hours for most, up to 24 hours in selected cases)
  • Viable brain tissue confirmed on imaging (penumbra salvageable)
  • May be combined with intravenous thrombolysis (clot-busting drug) where appropriate

Carotid artery stenosis

Narrowing of the carotid artery in the neck is a significant cause of stroke and TIA (transient ischaemic attack). Treatment options include carotid endarterectomy (surgical), carotid artery stenting (endovascular), or medical management with antiplatelet drugs and risk factor control. We assess each patient individually and recommend the most appropriate treatment.

After treatment

Following thrombectomy, patients are managed in a specialist stroke unit. Rehabilitation, secondary prevention, and follow-up imaging are all part of the care pathway. We provide detailed post-procedural reports and work closely with stroke physicians and rehabilitation teams.

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