Evidence map›Paper›PMID 36741353›Full record

ReviewTherapeutic advances in neurological disorders2023

A comparison of low- versus standard-dose bridging alteplase in acute ischemic stroke mechanical thrombectomy using indirect methods.

Wei Zheng, Hanhan Lei, Gareth Ambler, David J Werring, Huiying Lin, Xiaojuan Lin, Yi Tang, Jing Wu, Zhaomin Lin, Nan Liu and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Therapeutic advances in neurological disorders, 2023. 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
0.4field-weighted citation impact, top 36% 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, 2 citations in OpenAlex.

  1. Article
  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

11 authors at 3 institutions in 2 countries.

Wei ZhengDepartment of Neurology, Fujian Provincial Geriatric Hospital, Fuzhou, China.
Hanhan LeiStroke Research Center, Department of Neurology, Fujian Medical University Union Hospital, Fuzhou, China.
Gareth AmblerDepartment of Statistical Science, University College London, London, UK.
David J WerringStroke Research Center, UCL Queen Square Institute of Neurology, London, UK.
Huiying LinStroke Research Center, Department of Neurology, Fujian Medical University Union Hospital, Fuzhou, China.
Xiaojuan LinDepartment of Neurology, Fujian Provincial Geriatric Hospital, Fuzhou, China.
Yi TangDepartment of Neurology, Fujian Provincial Geriatric Hospital, Fuzhou, China.
Jing WuDepartment of Neurology, Fujian Provincial Geriatric Hospital, Fuzhou, China.
Zhaomin LinDepartment of Neurology, Fujian Provincial Geriatric Hospital, Fuzhou, China.
Nan LiuStroke Research Center, Department of Neurology, Fujian Medical University Union Hospital, Fuzhou, China.ORCID https://orcid.org/0000-0003-2901-3721
Houwei DuStroke Research Center, Department of Neurology, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou 350001, Fujian, China.ORCID https://orcid.org/0000-0002-5978-9734
Fujian Medical University · CNNIHR Queen Square Dementia Biomedical Research Unit · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Whether low-dose alteplase is similar to standard-dose bridging alteplase prior to endovascular mechanical thrombectomy in patients with acute ischemic stroke (AIS) remains uncertain. Aims: The aim of this study was to compare the efficacy and safety outcomes of low- versus standard-dose bridging alteplase therapy (BT) in patients with acute ischemic stroke (AIS) who are eligible for intravenous thrombolysis (IVT) within 4.5 h after onset. Methods: We conducted an indirect comparison of low- Results: We included six RCTs of 2334 AIS patients in this analysis, including one trial using low-dose bridging alteplase ( Conclusion: Indirect evidence shows that the effects of low- and standard-dose bridging alteplase are similar for key efficacy and safety outcomes. Due to the wide confidence intervals, larger randomized trials comparing low- and standard-dose alteplase bridging therapy are required.

Indexed as

acute ischemic strokebridging alteplase therapydoseindirect comparisonsmechanical thrombectomy

Identifiers

PMID36741353
PMCPMC9896089
OpenAlexW4319295275

What OpenQuestion holds

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LicenceCC BY-NC
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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.