Evidence map›Paper›PMID 40139842›Full record

ReviewJournal of atherosclerosis and thrombosis2025

Effectiveness and Limitations of Intravenous rt-PA Therapy in Patients with Mild Cerebral Infarction.

Ichiro Deguchi, Shinichi Takahashi, Satoshi Suda

Abstract readReview
In one paragraph

Review in Journal of atherosclerosis and thrombosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Ichiro DeguchiDepartment of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center.
Shinichi TakahashiDepartment of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center.
Satoshi SudaDepartment of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recombinant tissue plasminogen activator (rt-PA), specifically alteplase, remains the standard treatment for acute cerebral infarction across all stroke subtypes. However, per recent randomized controlled trials (RCTs), individuals with mild cerebral infarction, medical management alone without rt-PA can yield functional outcomes comparable to those achieved with thrombolytic therapy. This has sparked ongoing debate regarding the necessity of rt-PA administration in cases of mild stroke. Nonetheless, certain individuals with mild cerebral infarction derive clear benefits from rt-PA therapy. Therefore, an individualized treatment approach should be prioritized over a uniform thrombolytic strategy in these cases. This review examines the therapeutic efficacy and limitations of rt-PA therapy for mild cerebral infarction, integrating evidence from prior clinical studies with the authors' perspectives.

Indexed as

Cerebral InfarctionFibrinolytic AgentsThrombolytic TherapyTissue Plasminogen ActivatorAdministration, IntravenousHumansRandomized Controlled Trials as TopicRecombinant ProteinsTreatment OutcomeFibrinolytic AgentsRecombinant ProteinsTissue Plasminogen ActivatorCerebral infarctLarge vessel occlusionMild strokeRecombinant tissue plasminogen activatorThrombolysis

Identifiers

PMID40139842
PMCPMC12140849

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.