Tenecteplase versus Alteplase as Bridging Thrombolysis before Mechanical Thrombectomy for Medium and Distal Vessel Occlusions

In MDVO, tenecteplase yielded comparable safety and functional outcomes to alteplase, without statistically significant differences in early or final reperfusion. In light of recent trials questioning the benefit of MT in MDVO, these data <b>suggest comparable safety and functional outcomes between tenecteplase and alteplase as bridging thrombolysis prior to mechanical thrombectomy</b>, within the limits of this observational study.

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Publication Details

Journal
American Journal of Neuroradiology
Published
2026-02-09
DOI
https://doi.org/10.3174/ajnr.a9219
Primary Topic
Peripheral Artery Disease Management
Type
article
Field-Weighted Citation Impact
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article

Tenecteplase versus Alteplase as Bridging Thrombolysis before Mechanical Thrombectomy for Medium and Distal Vessel Occlusions

E. Kalsoum, Nicolas Chausson, M Piotin, Luca Scarcia et al.
American Journal of Neuroradiology
Peripheral Artery Disease Management
article

Tenecteplase versus Alteplase as Bridging Thrombolysis before Mechanical Thrombectomy for Medium and Distal Vessel Occlusions

E. Kalsoum, Nicolas Chausson, M Piotin, Luca Scarcia, Pierre Seners, Sonia Alamowitch, Frédéric Clarençon, Gaspard Gerschenfeld, Stéphane Olindo, Julien Allard, Fernando Pico, Jildaz Caroff
article en

Abstract

In MDVO, tenecteplase yielded comparable safety and functional outcomes to alteplase, without statistically significant differences in early or final reperfusion. In light of recent trials questioning the benefit of MT in MDVO, these data <b>suggest comparable safety and functional outcomes between tenecteplase and alteplase as bridging thrombolysis prior to mechanical thrombectomy</b>, within the limits of this observational study.

American Journal of Neuroradiology
Inserm (FR), Université Paris-Saclay (FR), Sorbonne Université (FR), Assistance Publique – Hôpitaux de Paris (FR), Hôpitaux Universitaires Henri-Mondor (FR), Nova : inNOvation in NeuroVAscular diseases (FR)
Openalex Percentile: Top 62%
Peripheral Artery Disease Management
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