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The New England Journal of Medicine
Tenecteplase administered up to 24 hours after stroke onset improved functional outcomes in patients with large-vessel occlusion and salvageable brain tissue who lacked access to immediate thrombectomy.
Emergency Medicine July 30th 2024
In a Chinese study, tenecteplase administered 4.5 to 24 hours after stroke onset resulted in less disability at 90 days compared to standard treatment, though it carried a higher risk of symptomatic intracranial hemorrhage.
Neurology July 3rd 2024
In a randomized trial of 1,412 patients with acute ischemic stroke, reteplase was more likely to result in excellent functional outcomes at 90 days compared to alteplase.
In a recent trial, late administration of tenecteplase, from 4.5 to 24 hours post-stroke onset, did not demonstrate a significant advantage over placebo in improving the functional outcomes of patients, as measured by the modified Rankin scale at 90 days.
Neurology February 13th 2024