Open AccessClinical safety and outcome of recombinant tissue plasminogen activator in patients with stroke attributable to small artery occlusion
Author(s) -
Liyan Ni,
Jinjin Tang
Publication year - 2021
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000026453
Subject(s) - medicine , meta analysis , cochrane library , confidence interval , thrombolysis , publication bias , medline , stroke (engine) , myocardial infarction , mechanical engineering , political science , law , engineering
Background: Recent observations raised concern that the intravenous recombinant tissue plasminogen activator (rt-PA) may result in damage to stroke patients caused by small artery occlusion (SAO). Thus, we perform a protocol for meta-analysis to investigate the efficacy and safety of intravenous thrombolysis with rt-PA in SAO-patients. Methods: The search-style electronic libraries, including Pubmed, Embase, the Cochrane Library, Web of Science, Wanfang Data, VIP Chinese Journals, and China Biomedical Literature Service System are used for document retrieval in June 2021 with no restrictions on language. The risk of bias in include articles will be assessed using the Cochrane Risk of Bias Tool. We perform the meta-analysis by Stata version 10.0 software and calculated the statistics using the inverse variance statistical method. Binary outcomes are presented as Mantel-Haenszel-style risk ratios with 95% confidence interval. Continuous outcomes are reported as mean differences. Results: The results of the article will be shown in a peer-reviewed journal. Conclusion: Intravenous rt-PA may be effective and safe in SAO-patients.