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  • Time to Treatment With Intravenous Thrombolysis Before Thrombectomy and Functional Outcomes in Acute Ischemic Stroke: A Meta-Analysis

    Abstract Full Text
    JAMA. 2024; 331(9):764-777. 10.1001/jama.2024.0589

    This individual participant data meta-analysis assesses treatment time from stroke symptom onset and disability level after treatment with intravenous thrombolysis plus thrombectomy vs thrombectomy alone among patients who presented directly at thrombectomy-capable stroke centers.

  • Association Between Intravenous Thrombolysis and Clinical Outcomes Among Patients With Ischemic Stroke and Unsuccessful Mechanical Reperfusion

    Abstract Full Text
    open access
    ÁñÁ«ÊÓƵ Netw Open. 2023; 6(5):e2310213. 10.1001/jamanetworkopen.2023.10213

    This cohort study investigates the potential treatment benefit of intravenous thrombolysis in patients with acute ischemic stroke due to large-vessel occlusion in whom successful mechanical reperfusion was not achieved.

  • Intravenous Thrombolysis in Patients With Ischemic Stroke and Recent Ingestion of Direct Oral Anticoagulants

    Abstract Full Text
    open access
    ÁñÁ«ÊÓƵ Neurol. 2023; 80(3):233-243. 10.1001/jamaneurol.2022.4782

    This cohort study evaluates the risk of symptomatic intracranial hemorrhage associated with use of intravenous thrombolysis in patients with recent direct oral anticoagulant ingestion.

  • Noncontrast Computed Tomography vs Computed Tomography Perfusion or Magnetic Resonance Imaging Selection in Late Presentation of Stroke With Large-Vessel Occlusion

    Abstract Full Text
    open access is active quiz
    ÁñÁ«ÊÓƵ Neurol. 2021; 79(1):22-31. 10.1001/jamaneurol.2021.4082

    This cohort study compares the clinical outcomes of patients with stroke who presented 6 to 24 hours after symptom onset and were selected for mechanical thrombectomy by noncontrast computed tomography vs those selected by computed tomography perfusion or magnetic resonance imaging.

  • Thrombectomy for Primary Distal Posterior Cerebral Artery Occlusion Stroke: The TOPMOST Study

    Abstract Full Text
    free access
    ÁñÁ«ÊÓƵ Neurol. 2021; 78(4):434-444. 10.1001/jamaneurol.2021.0001

    This case-control study analyzes the clinical, functional, and safety outcomes associated with endovascular therapy for patients with posterior circulation distal, medium vessel occlusion.

  • Safety and Efficacy of Intra-arterial Urokinase After Failed, Unsuccessful, or Incomplete Mechanical Thrombectomy in Anterior Circulation Large-Vessel Occlusion Stroke

    Abstract Full Text
    free access
    ÁñÁ«ÊÓƵ Neurol. 2019; 77(3):318-326. 10.1001/jamaneurol.2019.4192

    This cohort study assesses whether administration of intra-arterial urokinase is safe and improves reperfusion among patients who have undergone failed or incomplete mechanical thrombectomy.