Advances in acute ischemic stroke therapy

Y **ong, AK Wakhloo, M Fisher - Circulation research, 2022 - ahajournals.org
The treatment of acute ischemic stroke continues to advance. The mainstay of treatment
remains intravenous thrombolysis with alteplase. Recent studies demonstrated that later …

Tenecteplase thrombolysis for acute ischemic stroke

SJ Warach, AN Dula, TJ Milling Jr - Stroke, 2020 - ahajournals.org
Tenecteplase is a fibrinolytic drug with higher fibrin specificity and longer half-life than the
standard stroke thrombolytic, alteplase, permitting the convenience of single bolus …

Tenecteplase versus alteplase in acute ischaemic cerebrovascular events (TRACE-2): a phase 3, multicentre, open-label, randomised controlled, non-inferiority trial

Y Wang, S Li, Y Pan, H Li, MW Parsons, BCV Campbell… - The Lancet, 2023 - thelancet.com
Background There is increasing interest in replacing alteplase with tenecteplase as the
preferred thrombolytic treatment for patients with acute ischaemic stroke. We aimed to …

European Stroke Organisation (ESO) guidelines on intravenous thrombolysis for acute ischaemic stroke

E Berge, W Whiteley, H Audebert… - European stroke …, 2021 - journals.sagepub.com
Intravenous thrombolysis is the only approved systemic reperfusion treatment for patients
with acute ischaemic stroke. These European Stroke Organisation (ESO) guidelines provide …

Intravenous tenecteplase compared with alteplase for acute ischaemic stroke in Canada (AcT): a pragmatic, multicentre, open-label, registry-linked, randomised …

BK Menon, BH Buck, N Singh, Y Deschaintre… - The Lancet, 2022 - thelancet.com
Background Intravenous thrombolysis with alteplase bolus followed by infusion is a global
standard of care for patients with acute ischaemic stroke. We aimed to determine whether …

European Stroke Organisation (ESO) expedited recommendation on tenecteplase for acute ischaemic stroke

S Alamowitch, G Turc, L Palaiodimou… - European Stroke …, 2023 - journals.sagepub.com
Within the last year, four randomised-controlled clinical trials (RCTs) have been published
comparing intravenous thrombolysis (IVT) with tenecteplase and alteplase in acute …

Tenecteplase versus alteplase for the management of acute ischaemic stroke in Norway (NOR-TEST 2, part A): a phase 3, randomised, open-label, blinded endpoint …

CE Kvistad, H Næss, BH Helleberg, T Idicula… - The Lancet …, 2022 - thelancet.com
Background Tenecteplase is a modified tissue plasminogen activator with pharmacological
and practical advantages over alteplase—which is currently the only approved thrombolytic …

Prevalence and significance of impaired microvascular tissue reperfusion despite macrovascular angiographic reperfusion (no-reflow)

FC Ng, L Churilov, N Yassi, TJ Kleinig, V Thijs, T Wu… - Neurology, 2022 - neurology.org
Background and Objectives The relevance of impaired microvascular tissue-level
reperfusion despite complete upstream macrovascular angiographic reperfusion (no-reflow) …

Safety and efficacy of tenecteplase in patients with wake-up stroke assessed by non-contrast CT (TWIST): a multicentre, open-label, randomised controlled trial

MB Roaldsen, A Eltoft, T Wilsgaard… - The Lancet …, 2023 - thelancet.com
Background Current evidence supports the use of intravenous thrombolysis with alteplase in
patients with wake-up stroke selected with MRI or perfusion imaging and is recommended in …

Off-label use of tenecteplase for the treatment of acute ischemic stroke: a systematic review and meta-analysis

AH Katsanos, K Psychogios, G Turc, S Sacco… - JAMA network …, 2022 - jamanetwork.com
Importance Tenecteplase is being evaluated as an alternative thrombolytic agent for the
treatment of acute ischemic stroke (AIS) within ongoing randomized clinical trials (RCTs). In …