Systematic review of evidence on thrombolytic therapy for acute ischaemic stroke
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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.
