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Mismatch-Based Delayed Thrombolysis
Author(s) -
Nishant K. Mishra,
Gregory W. Albers,
Stephen M. Davis,
Geoffrey A. Donnan,
Anthony J. Furlan,
Werner Hacke,
Kennedy R. Lees
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.109.566869
Subject(s) - medicine , thrombolysis , stroke (engine) , clinical trial , odds ratio , intracerebral hemorrhage , odds , fibrinolytic agent , randomized controlled trial , cardiology , surgery , tissue plasminogen activator , logistic regression , subarachnoid hemorrhage , myocardial infarction , mechanical engineering , engineering
Clinical benefit from thrombolysis is reduced as stroke onset to treatment time increases. The use of "mismatch" imaging to identify patients for delayed treatment has face validity and has been used in case series and clinical trials. We undertook a meta-analysis of relevant trials to examine whether present evidence supports delayed thrombolysis among patients selected according to mismatch criteria.

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