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During thrombectomy, a neurovascular cosmetic surgeon threads a catheter via an incision in the patient’s groin, snaking it through the blood vessels and into the brain. The doctor then runs on the device mounted on the catheter to seize and dislodge the clot and pull it all the way out through the incision, a bit like an angler reeling in a seafood. One More Out of Every Four The Swift Prime study randomly divided patients with serious ischemic strokes into two groups, one receiving IV by itself tPA, and the other receiving combination therapy of IV tPA and thrombectomy within six hours of the onset of stroke symptoms.