Mechanical Thrombectomy Outcomes With and Without Intravenous Thrombolysis in Stroke Patients [Clinical Sciences]

Conclusions—Our results demonstrated that MT+IVT patients had better functional outcomes, lower mortality, higher rate of successful recanalization, requiring lower number of device passes, and equal odds of symptomatic intracerebral hemorrhage compared with MT−IVT patients. The results support the current guidelines of offering intravenous thrombolysis to eligible patients even if they are being considered for mechanical thrombectomy. Because the data are compiled from studies where the 2 groups differed based on eligibility for intravenous thrombolysis, randomized trials are necessary to accurately evaluate the added value of intravenous thrombolysis in patients treated with mechanical thrombectomy.
Source: Stroke - Category: Neurology Authors: Tags: Revascularization, Meta Analysis, Quality and Outcomes, Ischemic Stroke Original Contributions Source Type: research