Tirofiban after intravenous thrombolysis in acute ischemic stroke patients: An updated systematic review and meta-analysis of randomized controlled trials.
Oct 2026· Naunyn-Schmiedeberg's Archives of Pharmacology· 0 citations· 10 references
Medicine
TL;DR
Early intravenous tirofiban following thrombolysis was associated with improved functional recovery without a significant increase in mortality or intracranial hemorrhage on a relative scale and support further investigation of tirofiban as an adjunct to thrombolysis in selected patients with acute ischemic stroke.
BACKGROUND AND OBJECTIVES
Intravenous thrombolysis (IVT) is the standard treatment for acute ischemic stroke within 4.5 hours of onset. However, imaging-based selection may extend the treatment window. This systematic review and meta-analysis evaluated the efficacy and safety of IVT administered beyond 4.5 hours after...
BACKGROUND
Intravenous thrombolysis is a standard treatment for acute ischemic stroke but has traditionally been limited to 4.5 hours after symptom onset. This time-based restriction may exclude patients with salvageable brain tissue, especially those with wake-up or unknown-onset strokes. Multimodal imaging allows for...
P. N. K. Pitchan Velammal, Thirumalaivasan Dhasakeerthi, Devin Manzoori et al.· Stroke· 0 citations
The effectiveness and safety of intravenous thrombolysis (IVT) in minor ischemic stroke (MIS) remain uncertain in Chinese populations. We performed a secondary meta-analysis of cohort studies identified in a systematic review and meta-analysis, restricting the analysis to studies conducted in Chinese populations with M...
J. V. Andrade Fernandes, João Victor de Oliveira Ramos, Maurus Marques de Almeida Holanda· The Neurohospitalist· 0 citations
It is suggested that minocycline is biologically credible, but it did not demonstrate a consistent benefit in functional or neurological outcomes after AIS, and minocycline is viewed as a promising adjunct that now needs better targeted, biomarker-informed, reperfusion-aware trials rather than immediate universal use i...
M. Altaha, A. Abobaker, Muath Almuhanna et al.· The Egyptian Journal of Neur...· 0 citations
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