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Impact of Computed Tomography Perfusion Imaging on the Response to Tenecteplase in Ischemic Stroke
Author(s) -
Andrew Bivard,
Xuya Huang,
Patrick McElduff,
Christopher Levi,
Bruce Campbell,
Bharath Kumar Cheripelli,
Dheeraj Kalladka,
Fiona Moreton,
Ian Ford,
Christopher F. Bladin,
Stephen M. Davis,
Geoffrey A. Donnan,
Keith W. Muir,
Mark Parsons
Publication year - 2016
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.116.022582
Subject(s) - tenecteplase , medicine , modified rankin scale , stroke (engine) , odds ratio , fibrinolytic agent , perfusion scanning , tissue plasminogen activator , cardiology , perfusion , radiology , thrombolysis , ischemia , ischemic stroke , myocardial infarction , mechanical engineering , engineering
We pooled 2 clinical trials of tenecteplase compared with alteplase for the treatment of acute ischemic stroke, 1 that demonstrated superiority of tenecteplase and the other that showed no difference between the treatments in patient clinical outcomes. We tested the hypotheses that reperfusion therapy with tenecteplase would be superior to alteplase in improving functional outcomes in the group of patients with target mismatch as identified with advanced imaging.

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