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Systematic review of evidence on thrombolytic therapy for acute ischaemic stroke

The LancetPublished 1 August 1997
Joanna M. Wardlaw, C P Warlow, Carl Counsell
Citations288
SJR quartileQ1
SJR score12.11
SNIP22.72

TL;DR

A systematic review of all available randomised trials of thrombolytic therapy in acute ischaemic stroke found no objective evidence to suggest that tPA is safer than streptokinase or urokinase and the time window for effective treatment remains unclear.

Abstract

Thrombolysis requires further testing in large randomised trials because the risks seem substantial, and the benefit uncertain. The time window for effective treatment remains unclear. There is no objective evidence to suggest that tPA is safer than streptokinase; the apparent hazards and benefits may be similar when differences in trial design and baseline variables are accounted for.

Keywords

Medicine