Endovascular thrombectomy with or without intravenous alteplase for acute ischemic stroke due to large vessel occlusion: a systematic review and meta-analysis of …

X Wang, Z Ye, JW Busse, MD Hill, EE Smith… - Stroke and Vascular …, 2022 - svn.bmj.com
Background Among patients who had an ischaemic stroke presenting directly to a stroke
centre where endovascular thrombectomy (EVT) is immediately available, there is …

Advances in the management of acute ischemic stroke

R Nair, AN Wagner, BH Buck - Current Opinion in Neurology, 2023 - journals.lww.com
Converging evidence has demonstrated that for patients with ischemic stroke presenting at
under 4.5 h from the onset, TNK is comparable to alteplase. These data along with the …

Tenecteplase improves reperfusion across time in large vessel stroke

V Yogendrakumar, J Beharry, L Churilov… - Annals of …, 2023 - Wiley Online Library
Objective Tenecteplase improves reperfusion compared to alteplase in patients with large
vessel occlusions. To determine whether this improvement varies across the spectrum of …

Outcomes after endovascular thrombectomy with or without alteplase in routine clinical practice

EE Smith, C Zerna, N Solomon, R Matsouaka… - JAMA …, 2022 - jamanetwork.com
Importance The effectiveness and safety of intravenous alteplase given before or
concurrently with endovascular thrombectomy (EVT) is uncertain. Randomized clinical trials …

Tenecteplase treatment and thrombus characteristics associated with early reperfusion: an EXTEND-IA TNK trials analysis

V Yogendrakumar, L Churilov, P Guha, J Beharry… - Stroke, 2023 - Am Heart Assoc
Background: Intracranial occlusion site, contrast permeability, and clot burden are thrombus
characteristics that influence alteplase-associated reperfusion. In this study, we assessed …

Strength of association between infarct volume and clinical outcome depends on the magnitude of infarct size: results from the ESCAPE-NA1 trial

JM Ospel, MD Hill, BK Menon… - American Journal …, 2021 - Am Soc Neuroradiology
BACKGROUND AND PURPOSE: Infarct volume is an important predictor of clinical outcome
in acute stroke. We hypothesized that the association of infarct volume and clinical outcome …

Association of intravenous alteplase, early reperfusion, and clinical outcome in patients with large vessel occlusion stroke: post hoc analysis of the randomized …

Y Zhou, L Zhang, J Ospel, M Goyal, R McDonough… - Stroke, 2022 - Am Heart Assoc
Background: The added value of intravenous alteplase in reperfusing ischemic brain tissue
in patients undergoing endovascular treatment and directly presented to an endovascular …

Tenecteplase versus alteplase before mechanical thrombectomy: experience from a US healthcare system undergoing a system-wide transition of primary …

P Hendrix, MK Collins, CJ Griessenauer… - Journal of …, 2023 - jnis.bmj.com
Background Tenecteplase (TNK) is a genetically modified variant of alteplase (TPA) and has
been established as a non-inferior alternative to TPA in acute ischemic stroke (AIS). Whether …

Early recanalization in large-vessel occlusion stroke patients transferred for endovascular treatment

NA Terreros, AAE Bruggeman… - Journal of …, 2022 - jnis.bmj.com
Background We performed an exploratory analysis to identify patient and thrombus
characteristics associated with early recanalization in large-vessel occlusion (LVO) stroke …

Endovascular thrombectomy and intravenous alteplase in patients with acute ischemic stroke due to large vessel occlusion: a clinical practice guideline

Z Ye, JW Busse, MD Hill, MP Lindsay… - Journal of Evidence …, 2022 - Wiley Online Library
Aim Whether or not use of intravenous alteplase in combination with endovascular
thrombectomy (EVT) improves outcomes versus EVT alone, for acute stroke patients with …