Thrombolysis for acute ischaemic stroke: current status and future perspectives

G Tsivgoulis, AH Katsanos, EC Sandset, G Turc… - The Lancet …, 2023 - thelancet.com
Alteplase is currently the only approved thrombolytic agent for treatment of acute ischaemic
stroke, but interest is burgeoning in the development of new thrombolytic agents for systemic …

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 …

Thrombectomy alone versus intravenous alteplase plus thrombectomy in patients with stroke: an open-label, blinded-outcome, randomised non-inferiority trial

U Fischer, J Kaesmacher, D Strbian, O Eker… - The Lancet, 2022 - thelancet.com
Background Whether thrombectomy alone is equally as effective as intravenous alteplase
plus thrombectomy remains controversial. We aimed to determine whether thrombectomy …

Endovascular thrombectomy versus standard bridging thrombolytic with endovascular thrombectomy within 4· 5 h of stroke onset: an open-label, blinded-endpoint …

PJ Mitchell, B Yan, L Churilov, RJ Dowling, SJ Bush… - The Lancet, 2022 - thelancet.com
Background The benefit of combined treatment with intravenous thrombolysis before
endovascular thrombectomy in patients with acute ischaemic stroke caused by large vessel …

Value of intravenous thrombolysis in endovascular treatment for large-vessel anterior circulation stroke: individual participant data meta-analysis of six randomised …

CB Majoie, F Cavalcante, J Gralla, P Yang… - The lancet, 2023 - thelancet.com
Background Intravenous thrombolysis is recommended before endovascular treatment, but
its value has been questioned in patients who are admitted directly to centres capable of …

Time to treatment with intravenous thrombolysis before thrombectomy and functional outcomes in acute ischemic stroke: a meta-analysis

J Kaesmacher, F Cavalcante, M Kappelhof… - Jama, 2024 - jamanetwork.com
Importance The benefit of intravenous thrombolysis (IVT) for acute ischemic stroke declines
with longer time from symptom onset, but it is not known whether a similar time dependency …

Safety and efficacy of aspirin, unfractionated heparin, both, or neither during endovascular stroke treatment (MR CLEAN-MED): an open-label, multicentre …

W van der Steen, RA van de Graaf, V Chalos… - The Lancet, 2022 - thelancet.com
Background Aspirin and unfractionated heparin are often used during endovascular stroke
treatment to improve reperfusion and outcomes. However, the effects and risks of anti …

Acute ischaemic stroke: recent advances in reperfusion treatment

P Widimsky, K Snyder, J Sulzenko… - European Heart …, 2023 - academic.oup.com
Abstract During the last 5–7 years, tremendous progress was achieved in the reperfusion
treatment of acute ischaemic stroke during its first few hours from symptom onset. This …

European Stroke Organisation (ESO)–European Society for Minimally Invasive Neurological Therapy (ESMINT) expedited recommendation on indication for …

G Turc, G Tsivgoulis, HJ Audebert… - Journal of …, 2022 - jnis.bmj.com
Six randomized controlled clinical trials have assessed whether mechanical thrombectomy
(MT) alone is non-inferior to intravenous thrombolysis (IVT) plus MT within 4.5 hours of …

Intravenous thrombolysis in patients with ischemic stroke and recent ingestion of direct oral anticoagulants

TR Meinel, D Wilson, H Gensicke, JF Scheitz… - JAMA …, 2023 - jamanetwork.com
Importance International guidelines recommend avoiding intravenous thrombolysis (IVT) in
patients with ischemic stroke who have a recent intake of a direct oral anticoagulant (DOAC) …