Efficacy and Safety of Tissue Plasminogen Activator 3 to 4.5 Hours After Acute Ischemic Stroke
Author(s) -
Maarten G. Lansberg,
Erich Bluhmki,
Vincent Thijs
Publication year - 2009
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.109.552547
Subject(s) - medicine , thrombolysis , tissue plasminogen activator , odds ratio , stroke (engine) , placebo , acute stroke , fibrinolytic agent , surgery , myocardial infarction , pathology , mechanical engineering , alternative medicine , engineering
The Third European Cooperative Acute Stroke Study (ECASS-3) demonstrated a benefit of treatment with intravenous tissue plasminogen activator (tPA) for acute stroke in the 3- to 4.5-hour time-window. Prior studies, however, have failed to demonstrate a significant benefit of tPA for patients treated beyond 3 hours. The purpose of this study was to produce reliable and precise estimates of the treatment effect of tPA by pooling data from all relevant studies.
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