Dual antiplatelet therapy pretreatment in patients undergoing intravenous thrombolysis for acute ischemic stroke: a systematic review and meta-analysis of 296,854 patients

Prestroke DAPT was not associated with favorable functional outcome or reduced mortality after IVT and was associated with a higher risk of sICH when defined by NINDS criteria, with a 1% absolute risk increase.

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Publication Details

Journal
Neurological Research
Published
2026-02-14
DOI
https://doi.org/10.1080/01616412.2026.2629550
Primary Topic
Acute Ischemic Stroke Management
Type
article
Field-Weighted Citation Impact
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article

Dual antiplatelet therapy pretreatment in patients undergoing intravenous thrombolysis for acute ischemic stroke: a systematic review and meta-analysis of 296,854 patients

Mariana Letícia de Bastos Maximiano, Lucas Pari Mitre, Filipe Virgílio Ribeiro, João Vítor Andrade Fernandes et al.
Neurological Research
Acute Ischemic Stroke Management
article

Dual antiplatelet therapy pretreatment in patients undergoing intravenous thrombolysis for acute ischemic stroke: a systematic review and meta-analysis of 296,854 patients

Mariana Letícia de Bastos Maximiano, Lucas Pari Mitre, Filipe Virgílio Ribeiro, João Vítor Andrade Fernandes, Ahmet Günkan, Lucca Tamara Alves Carretta, Paweł Łajczak, Ocílio Ribeiro Gonçalves, Fábio de Melo Franzoni, Luciano Falcão, João Victor Pereira Gonzalez, Mariana Lee Han
article en

Abstract

Prestroke DAPT was not associated with favorable functional outcome or reduced mortality after IVT and was associated with a higher risk of sICH when defined by NINDS criteria, with a 1% absolute risk increase.

Neurological Research
University of Arizona (US), Medical University of Silesia (PL), Universidade Federal da Paraíba (BR), Centro Universitário Cesumar (BR), Universidade Federal do Piauí (BR), Centro Universitário Barão de Mauá (BR), Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (BR), Faculdade de Ciências Médicas da Santa Casa de São Paulo (BR)
Good health and well-being
Openalex Percentile: Top 54%
Acute Ischemic Stroke Management
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Dual antiplatelet therapy pretreatment in patients undergoing intravenous thrombolysis for acute ischemic stroke: a systematic review and meta-analysis of 296,854 patients — Mariana Letícia de Bastos Maximiano, Lucas Pari Mitre, et al. · Neurological Research (2026) | TGRS Research Map | TGRS