Evidence map›Paper›PMID 23539414›Full record

ReviewSeminars in thrombosis and hemostasis2013

Plasminogen activators and ischemic stroke: conditions for acute delivery.

Gregory J del Zoppo

Abstract readReview
In one paragraph

Review in Seminars in thrombosis and hemostasis, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Gregory J del ZoppoDivision of Hematology, Department of Medicine, University of Washington School of Medicine, Seattle, Washington 98104, USA. grgdlzop@u.washington.edu
University of Washington · US

Funding

THROMBUS FORMATION IN BABOONSP01HL031950 · NHLBI · SCRIPPS RESEARCH INSTITUTE, THE · PI GRIFFIN, JOHN H · 1985 to 2015
$29.4M
Neurovascular Adhesion Receptors and Barrier IntegrityR01NS053716 · NINDS · UNIVERSITY OF WASHINGTON · PI DEL ZOPPO, GREGORY J · 2006 to 2016
$3.5M
Matrix Metalloproteinases and Neurons in Focal IschemiaR37NS038710 · NINDS · UNIVERSITY OF WASHINGTON · PI DEL ZOPPO, GREGORY J · 2004 to 2010
$3.2M
MICROVASCULAR OCCLUSIONS--ACUTE FOCAL CEREBRAL ISCHEMIAR01NS026945 · NINDS · SCRIPPS RESEARCH INSTITUTE · PI DEL ZOPPO, GREGORY J · 1989 to 2004
$2.2M
MATRIX METALLOPROTEINASES AND NEURONS IN FOCAL ISCHEMIAR01NS038710 · NINDS · SCRIPPS RESEARCH INSTITUTE · PI DEL ZOPPO, GREGORY J · 1999 to 2002
$1.5M
NHLBI NIH HHS P01 HL031950NHLBI NIH HHS P01 HL31950NINDS NIH HHS R01 NS026945NINDS NIH HHS R01 NS038710NINDS NIH HHS R01 NS053715NINDS NIH HHS R01 NS053716NINDS NIH HHS R01 NS26945NINDS NIH HHS R01 NS38710NINDS NIH HHS R37 NS038710
6 · The paper itself

Abstract

Appropriate acute treatment with plasminogen activators (PAs) can significantly increase the probability of minimal or no disability in selected ischemic stroke patients. There is a great deal of evidence showing that intravenous recombinant tissue PAs (rt-PA) infusion accomplishes this goal, recanalization with other PAs has also been demonstrated in the development of this treatment. Recanalization of symptomatic, documented carotid or vertebrobasilar arterial territory occlusions have also been achieved by local intra-arterial PA delivery, although only a single prospective double-blinded randomized placebo-controlled study has been reported. The increase in intracerebral hemorrhage with these agents by either delivery approach underscores the need for careful patient selection, dose-appropriate safety and efficacy, proper clinical trial design, and an understanding of the evolution of cerebral tissue injury due to focal ischemia. Principles underlying the evolution of focal ischemia have been expanded by experience with acute PA intervention. Several questions remain open that concern the manner in which PAs can be applied acutely in ischemic stroke and how injury development can be limited.

Indexed as

Cerebral HemorrhageFibrinolytic AgentsHumansInfusions, IntravenousStrokeThrombolytic TherapyTissue Plasminogen ActivatorFibrinolytic AgentsTissue Plasminogen Activator

Identifiers

PMID23539414
PMCPMC3703437
OpenAlexW2078671689

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.