Aspirin reduces the overall risk of recurrence by 13% with greater benefit early on. Definitive therapy within the first few hours is aimed at removing the blockage by breaking the clot down (
thrombolysis), or by removing it mechanically (
thrombectomy). The philosophical premise underlying the importance of rapid stroke intervention was summed up as
Time is Brain! in the early 1990s. Years later, that same idea, that rapid cerebral blood flow restoration results in fewer brain cells dying, has been proved and quantified.