Globally, acute ischaemic stroke is the leading cause of disability. Disease burden is higher in low-income and middle-income countries (LMICs) than in high-income countries, with LMICs seeing 71% of stroke-related deaths. Nepal is a low-income country with a per-capita income of US$1034. Stroke is a major cause of death and one of the top five causes of morbidity in Nepal, as measured by disability-adjusted life years (DALYs). In high-income countries, mechanical thrombectomy has revolutionised the management of acute ischaemic stroke with large vessel occlusion. In Nepal, the first mechanical thrombectomy programme was initiated in March, 2019, by a team led by a dedicated interventional neuroradiologist Dr Subash Phuyal at Grande International Hospital. In this Comment we discuss our early insights into this programme.
For More: https://doi.org/10.1016/S2214-109X(20)30071-1
