Economic value of extended-window intravenous alteplase in posterior circulation stroke: a Markov analysis based on the EXPECTS trial

For patients with PCIS in the 4.5-24-h time window, intravenous alteplase is a highly cost-effective treatment option in China. This finding supports the broader implementation of extended-window thrombolysis for eligible PCIS patients, particularly in settings where access to endovascular thrombectomy or advanced perfusion imaging is limited.

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Publication Details

Journal
Frontiers in Pharmacology
Published
2026-01-08
DOI
https://doi.org/10.3389/fphar.2025.1734165
Primary Topic
Acute Ischemic Stroke Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Economic value of extended-window intravenous alteplase in posterior circulation stroke: a Markov analysis based on the EXPECTS trial

Yudong Ma, Maolin Chen, Yuhong Zeng, Yake Lou
Frontiers in Pharmacology
Acute Ischemic Stroke Management
article

Economic value of extended-window intravenous alteplase in posterior circulation stroke: a Markov analysis based on the EXPECTS trial

Yudong Ma, Maolin Chen, Yuhong Zeng, Yake Lou
article en

Abstract

For patients with PCIS in the 4.5-24-h time window, intravenous alteplase is a highly cost-effective treatment option in China. This finding supports the broader implementation of extended-window thrombolysis for eligible PCIS patients, particularly in settings where access to endovascular thrombectomy or advanced perfusion imaging is limited.

Frontiers in PharmacologyVol. 16
University of Electronic Science and Technology of China (CN), Capital Medical University (CN), Beijing Anzhen Hospital (CN), Air Force General Hospital PLA (CN), Beijing Chaoyang Emergency Medical Center (CN)
Decent work and economic growth
Openalex Percentile: Top 97%
Acute Ischemic Stroke Management
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