Time to treatment with intravenous alteplase and outcome in stroke: an updated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trials

Kennedy R Lees, Erich Bluhmki, Rüdiger von Kummer, Thomas G Brott, Danilo Toni, James C Grotta, Gregory W Albers, Markku Kaste, John R Marler, Scott A Hamilton, Barbara C Tilley, Stephen M Davis, Geoffrey A Donnan, Werner Hacke, Kathryn Allen, Jochen Mau, Dieter Meier, Gregory del Zoppo, Adriana Araujo de Souza e Silva, K S ButcherM W Parsons, P A Barber, C Levi, C Bladin, G Byrnes, ECASS, ATLANTIS, NINDS and EPITHET rt-PA Study Group

1811 Citationer (Scopus)

Abstract

Early administration of intravenous recombinant tissue plasminogen activator (rt-PA) after ischaemic stroke improves outcome. Previous analysis of combined data from individual patients suggested potential benefit beyond 3 h from stroke onset. We re-examined the effect of time to treatment with intravenous rt-PA (alteplase) on therapeutic benefit and clinical risk by adding recent trial data to the analysis.
OriginalsprogEngelsk
TidsskriftLancet
Vol/bind375
Udgave nummer9727
Sider (fra-til)1695-703
Antal sider9
DOI
StatusUdgivet - 15 maj 2010

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