SGEM#488: It’s Just a Minor Stroke – Should We Still Lyse?

Studien extrahiert aus dem Podcast von Dr. Ken Milne

• 2025Meta-Analysis of RCTs on IV Thrombolysis in Patients With Minor Acute Ischemic StrokeAnticoagulation & AntithromboticsIn 3,364 patients with minor acute ischemic stroke, IV thrombolysis did not improve excellent functional recovery at 90 days compared with standard care.
• 2018PRISMSAnticoagulation & AntithromboticsIn 313 patients with minor non-disabling acute ischemic stroke, intravenous alteplase did not improve 90-day functional outcome compared with aspirin.
• 2015MR CLEANOtherIn 500 patients with anterior-circulation stroke from proximal occlusion, intraarterial treatment improved 90-day functional outcome versus usual care alone.