Permeable Thrombi Are Associated With Higher Intravenous Recombinant Tissue-Type Plasminogen Activator Treatment Success in Patients With Acute Ischemic Stroke
Author(s) -
Emilie Santos,
Jan Willem Dankbaar,
Kilian M. Treurniet,
Alexander D. Horsch,
Yvo B.W.E.M. Roos,
L. Jaap Kappelle,
Wiro J. Niessen,
Charles B.L.M. Majoie,
Birgitta K. Velthuis,
Henk A. Marquering,
Luciën E. M. Duijm,
Koos Keizer,
Aad van der Lugt,
Diederik W.J. Dippel,
K. E. Droogh - de Greeve,
Henri P. Bienfait,
Marianne AA van Walderveen,
M.J.H. Wermer,
Geert J. Lycklama à Nijeholt,
Jelis Boiten,
D. Duyndam,
I.V. Kwa,
Joost Meijer,
E.J. van Dijk,
F.O. Kesselring,
Frederick J. A. Meijer,
Jan Albert Vos,
Wouter J. Schonewille,
W.J. van Rooij,
Paul L.M. de Kort,
C.C. Pleiter,
S. L. M. Bakker,
Joost Bot,
Marieke C. Visser,
Irene C. van der Schaaf,
Willem P.Th.M. Mali,
Tom van Seeters,
J.M. Niesten,
Geert Jan Biessels,
Merel J.A. Luitse,
Y. van der Graaf
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.116.013306
Subject(s) - medicine , odds ratio , interquartile range , thrombus , modified rankin scale , fibrinolytic agent , confidence interval , stroke (engine) , thrombolysis , surgery , tissue plasminogen activator , ischemia , ischemic stroke , mechanical engineering , myocardial infarction , engineering
Preclinical studies showed that thrombus permeability improves recombinant tissue-type plasminogen activator (r-tPA) efficacy. We hypothesize that thrombus permeability estimated from radiological imaging is associated with improved recanalization after treatment with intravenously administered r-tPA (r-tPA) and with better functional outcome.
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