Before Stroke Thrombectomy, Keep the Bed Flat, Trial Says

PHOENIX — For large vessel occlusion (LVO) acute ischemic stroke patients planned for mechanical thrombectomy, bed positioning made a big difference in clinical worsening, the ZODIAC trial showed.

Keeping the head of the bed flat at a zero-degree angle after the CT scan while awaiting the cath lab led to 50-fold fewer cases of early neurologic worsening compared with the usual 30-degree angle. The rate of NIH Stroke Scale (NIHSS) score increase of at least 2 points during that period was just 2.22% with the zero-degree head position compared with 55.32% in the heads-up group (P
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