Occlusion site and outcomes in intra-arterial tenecteplase after successful endovascular therapy: a secondary analysis of the ANGEL-TNK trial

IA tenecteplase had a better functional outcome and lower hemorrhage risk in ICA occlusion compared with standard medical management but not in MCA M1/M2. Occlusion site is a critical determinant of response to IA tenecteplase. A pooled analysis of IA tenecteplase stratified by occlusion site strata is warranted.

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Journal
Journal of NeuroInterventional Surgery
Published
2025-10-23
DOI
https://doi.org/10.1136/jnis-2025-024129
Primary Topic
Acute Ischemic Stroke Management
Type
article
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article

Occlusion site and outcomes in intra-arterial tenecteplase after successful endovascular therapy: a secondary analysis of the ANGEL-TNK trial

Ligang Song, Zhongrong Miao, Xin Tong, Thanh N. Nguyen et al.
Journal of NeuroInterventional Surgery
Acute Ischemic Stroke Management
article

Occlusion site and outcomes in intra-arterial tenecteplase after successful endovascular therapy: a secondary analysis of the ANGEL-TNK trial

Ligang Song, Zhongrong Miao, Xin Tong, Thanh N. Nguyen, Xiaochuan Huo, Wenhuo Chen, Huachen Zhang, Dapeng Sun, Gang Luo, Shuo Li, Yiwen Xu, Xuelei Zhang, Qi Zhou, Xiaoxi Yao
article en

Abstract

IA tenecteplase had a better functional outcome and lower hemorrhage risk in ICA occlusion compared with standard medical management but not in MCA M1/M2. Occlusion site is a critical determinant of response to IA tenecteplase. A pooled analysis of IA tenecteplase stratified by occlusion site strata is warranted.

Journal of NeuroInterventional Surgery
Boston Medical Center (US), Fujian Medical University (CN), Beijing Tian Tan Hospital (CN), Beijing Anzhen Hospital (CN), Chenzhou First People's Hospital (CN), Union Hospital (CN)
Openalex Percentile: Top 59%
Acute Ischemic Stroke Management
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