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This article is from the NEJM Journal Watch
Should Bridging Thrombolysis Be Used Before Thrombectomy for Stroke?
Whether thrombolysis should be done before stroke thrombolysis
Reviewed by Seemant Chaturvedi, MD
Yes
Current guidelines recommend intravenous thrombolysis (IVT) for specific acute ischemic stroke patients, and also recommend that endovascular embolism (EVT)
In a multicenter trial SWIFT-DIRECT (Fischer et al.
DIRECT-SAFE (Mitchell et al.
comments
Both trials provide a definitive answer
Articles that are commented on
[1] Fischer U et al.
[2] Mitchell PJ et al.
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