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Direct Mechanical Intervention Versus Combined Intravenous and Mechanical Intervention in Large Artery Anterior Circulation Stroke
Author(s) -
Anne Broeg-Morvay,
Pasquale Mordasini,
Corrado Bernasconi,
Monika Bühlmann,
Frauke Pult,
Marcel Arnold,
Gerhard Schroth,
Simon Jung,
Heinrich P. Mattle,
Jan Gralla,
Urs Fischer
Publication year - 2016
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.115.011134
Subject(s) - medicine , thrombolysis , modified rankin scale , intracerebral hemorrhage , stroke (engine) , anterior cerebral artery , propensity score matching , randomized controlled trial , cardiology , surgery , asymptomatic , middle cerebral artery , myocardial infarction , ischemic stroke , subarachnoid hemorrhage , ischemia , mechanical engineering , engineering
Five randomized controlled trials have consistently shown that mechanical thrombectomy (MT) in addition to best medical treatment (±intravenous tissue-type plasminogen activator) improves outcome after acute ischemic stroke in patients with large artery anterior circulation stroke. Whether direct MT is equally effective as combined intravenous thrombolysis with MT (ie, bridging thrombolysis) remains unclear.

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