Arterial collateral status and treatment effect of intravenous alteplase thrombolysis prior to endovascular treatment in patients with anterior circulation large vessel occlusion: prespecified analysis of the MR CLEAN-NO IV trial

In the MR CLEAN-NO IV trial, we did not find evidence that arterial collateral status measured with a visual score or quantitative score can inform treatment decisions regarding IVT plus EVT for patients with acute ischemic stroke due to large vessel occlusion in the anterior circulation within 4.5 hours.

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Publication Details

Journal
Journal of NeuroInterventional Surgery
Published
2025-05-24
DOI
https://doi.org/10.1136/jnis-2025-023054
Primary Topic
Acute Ischemic Stroke Management
Type
article
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article

Arterial collateral status and treatment effect of intravenous alteplase thrombolysis prior to endovascular treatment in patients with anterior circulation large vessel occlusion: prespecified analysis of the MR CLEAN-NO IV trial

Jonathan M. Coutinho, Ivo G.H. Jansen, Wim H. van Zwam, Bart J. Emmer et al.
Journal of NeuroInterventional Surgery
Acute Ischemic Stroke Management
article

Arterial collateral status and treatment effect of intravenous alteplase thrombolysis prior to endovascular treatment in patients with anterior circulation large vessel occlusion: prespecified analysis of the MR CLEAN-NO IV trial

Jonathan M. Coutinho, Ivo G.H. Jansen, Wim H. van Zwam, Bart J. Emmer, Natalie E. LeCouffe, Henk A. Marquering, Charles B.L.M. Majoie, Kilian M. Treurniet, Aashish Venkatesh, Anouk van der Hoorn, Marieke E.S. Sprengers, Agnetha A.E. Bruggeman, Fabiano Cavalcante, Lennard Wolff, Yvo B.W.E.M. Roos, Wenjin Yang, Leon A. Rinkel, Manon Kappelhof, Robert van Oostenbrugge, Olvert A. Berkhemer
article en

Abstract

In the MR CLEAN-NO IV trial, we did not find evidence that arterial collateral status measured with a visual score or quantitative score can inform treatment decisions regarding IVT plus EVT for patients with acute ischemic stroke due to large vessel occlusion in the anterior circulation within 4.5 hours.

Journal of NeuroInterventional SurgeryVol. 17(10)
University Medical Center Groningen (NL), Second Military Medical University (CN), Maastricht University Medical Centre (NL), Erasmus MC (NL), Maastricht University (NL), GGD Haaglanden (NL), Changhai Hospital (CN), Shanghai First People's Hospital (CN), Maastro Clinic (NL), University of Amsterdam (NL)
Openalex Percentile: Top 83%
Acute Ischemic Stroke Management
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