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. 2023 Jun 30;9(2):61-63.
doi: 10.4103/bc.bc_70_22. eCollection 2023 Apr-Jun.

Intravenous thrombolysis for acute ischemic stroke: From alteplase to tenecteplase

Affiliations

Intravenous thrombolysis for acute ischemic stroke: From alteplase to tenecteplase

Nan Yang et al. Brain Circ. .

Abstract

Stroke is one of the primary causes of morbidity and death worldwide. While intravenous (IV) thrombolysis with alteplase has been widely proven to be beneficial for acute ischemic stroke patients, it still has many limitations. Tenecteplase, a revised version of alteplase, is a potential alternative IV thrombolytic agent that has benefits over alteplase. The aim of this mini-review is to summarize the advancements in IV thrombolysis for severe ischemic stroke, specifically the development and transition from alteplase to tenecteplase.

Keywords: Alteplase; stroke; tenecteplase.

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Conflict of interest statement

There are no conflicts of interest.

References

    1. Lee H, Yun HJ, Ding Y. Timing is everything: Exercise therapy and remote ischemic conditioning for acute ischemic stroke patients. Brain Circ. 2021;7:178–86. - PMC - PubMed
    1. Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2019;50:e344–418. - PubMed
    1. Oliveira M, Fidalgo M, Fontão L, Antão J, Marques S, Afreixo V, et al. Tenecteplase for thrombolysis in stroke patients: Systematic review with meta-analysis. Am J Emerg Med. 2021;42:31–7. - PubMed
    1. Parsons M, Spratt N, Bivard A, Campbell B, Chung K, Miteff F, et al. Arandomized trial of tenecteplase versus alteplase for acute ischemic stroke. N Engl J Med. 2012;366:1099–107. - PubMed
    1. Huang X, MacIsaac R, Thompson JL, Levin B, Buchsbaum R, Haley EC, Jr, et al. Tenecteplase versus alteplase in stroke thrombolysis: An individual patient data meta-analysis of randomized controlled trials. Int J Stroke. 2016;11:534–43. - PubMed